MRS. DEVADAH LA JEUNE KING (APRN) – Adult Health Nurse Practitioner, NPI 1568990315
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. DEVADAH LA JEUNE KING (APRN)
1296 W BROAD ST
GROVELAND, FL 347362012
Phone: (407) 905-8827
Fax: (352) 429-5606
Type: Location
South Lake Hospital, 1900, Don Wickham Drive, Clermont, Lake County, Florida, 34711, United States
CLERMONT, FL 347111979
Phone: (352) 536-8840
Fax: (352) 536-8841
Type: Mailing
110 S WOODLAND ST
WINTER GARDEN, FL 347873546
Phone: (407) 905-8827
Fax: (407) 905-8998
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171116003183 | I | Nurse Practitioner | FL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 163 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 109 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 43 | 43 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 32 | 32 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 18 | 18 | $0 |
Insurance plans in this area (ZIP 34736)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | NJ | |
| - | FL | |
| Internal Medicine | MI | |
| Endocrinology, Internal Medicine | FL | |
| Internal Medicine | MD | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL |
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