DEVIN STETSON – Physician Assistant, NPI 1235844028

DEVIN STETSON is a healthcare provider. based in Tustin, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 63947 (CA). The NPI Number for DEVIN STETSON is 1235844028

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DEVIN STETSON
NPI
1235844028
Phone
Not provided
Address
18302 IRVINE BLVD STE 200
Enumeration Date
17 January 2023
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9498257650
Graduation Year
2023 (3 years ago)
PAC ID
5294270708
Group Practice PAC ID
4486544145
Professional Enrollment ID
I20240709002214
Address ID
CA927803464TU18302BLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for DEVIN STETSON

  • 18302 IRVINE BLVD STE 200

    TUSTIN, CA 927803464

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Cleerly, Inc. ($61).

Total Amount

$209

General + Research + Ownership

Payments

7

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240709002214IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92780)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486544145View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantCA
-CA
Urology, General Surgery, UrologyCA
U R O L O G YCA

Reviews

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Frequently asked questions

How do payers reference DEVIN STETSON?
For DEVIN STETSON, use NPI 1235844028 as the unique 10-digit identifier.
Is DEVIN STETSON still an active registrant?
DEVIN STETSON carries an active NPI according to the public dataset.
What kind of doctor is DEVIN STETSON?
DEVIN STETSON is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is DEVIN STETSON located near Tustin?
DEVIN STETSON currently maps to Tustin, California in this extract.
When was this NPI issued?
Enumeration for DEVIN STETSON is noted as January 17, 2023 where the registry provides it.

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