DEEPA DEVAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245073378

DEEPA DEVAN (PMHNP-BC) is a healthcare provider. based in Northville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704324709 (MI). The NPI Number for DEEPA DEVAN (PMHNP-BC) is 1245073378

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DEEPA DEVAN (PMHNP-BC)
NPI
1245073378
Phone
(650) 772-8097
Address
50244 LIVINGSTON DR
Enumeration Date
17 June 2024
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8779069699
Graduation Year
2023 (3 years ago)
PAC ID
3476093030
Group Practice PAC ID
4880918051
Professional Enrollment ID
I20240910001640
Address ID
MI483771600NO39465RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DEEPA DEVAN (PMHNP-BC)

  • 50244 LIVINGSTON DR

    NORTHVILLE, MI 481686707

    Phone: (650) 772-8097

    Type: Mailing

  • 34290 Ford Rd

    Westland, MI 481853051

    Phone: (650) 772-8097

    Type: Location

  • 9315 Telegraph Rd

    Redford, MI 482391260

    Phone: (313) 450-4500

    Type: Location

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: 2024-09-10

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
I20240910001640INurse PractitionerMITBD

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 48168)

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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: 4880918051View full group profile
NameSpecialtyState
Family PracticeAR
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerNY
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify DEEPA DEVAN (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1245073378 for DEEPA DEVAN (PMHNP-BC).
Is DEEPA DEVAN (PMHNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists DEEPA DEVAN (PMHNP-BC) as active.
How should patients interpret DEEPA DEVAN (PMHNP-BC)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for DEEPA DEVAN (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What city is tied to DEEPA DEVAN (PMHNP-BC)?
The directory associates DEEPA DEVAN (PMHNP-BC) with Northville, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for DEEPA DEVAN (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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