MRS. MARY K DEVERS (MD) – Family Medicine Physician, NPI 1376581090

MRS. MARY K DEVERS (MD) is a healthcare provider. based in Overland park, Kansas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0428486 (KS). The NPI Number for MRS. MARY K DEVERS (MD) is 1376581090

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY K DEVERS (MD)
NPI
1376581090
Phone
(913) 345-3650
Address
5701 W 119TH ST
Enumeration Date
3 June 2006
Last Update Date
7 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
9132274631
Graduation Year
1995 (31 years ago)
PAC ID
5698730711
Group Practice PAC ID
8527340702
Professional Enrollment ID
I20041130000697
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. MARY K DEVERS (MD)

  • West 119th Street, Overland Park, Johnson County, Kansas, 66251, United States

    SUITE 330

    OVERLAND PARK, KS 662093721

    Phone: (913) 345-3650

    Fax: (913) 345-3797

    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)

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: 2013-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041130000697IFamily PracticeKSTBD
I20130912000280IFamily PracticeMOTBD

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 66209)

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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: 8527340702View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Family PracticeKS
-MO
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Family PracticeMO

Reviews

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Frequently asked questions

Is there an official ID for MRS. MARY K DEVERS (MD) in U.S. healthcare records?
The official identifier for MRS. MARY K DEVERS (MD) is NPI 1376581090.
Would MRS. MARY K DEVERS (MD) appear as active to a payer?
You can treat MRS. MARY K DEVERS (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. MARY K DEVERS (MD)?
At a glance, MRS. MARY K DEVERS (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MRS. MARY K DEVERS (MD) located near Overland Park?
MRS. MARY K DEVERS (MD) currently maps to Overland Park, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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