DEVYN ELY (AGACNP-BC) – Critical Care Medicine Nurse Practitioner, NPI 1598498917
Critical Care Medicine Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for DEVYN ELY (AGACNP-BC)
5450 Fort St
Trenton, MI 481834601
Phone: (734) 642-2154
Type: Location
11199 OAK LN APT 2108
VAN BUREN TWP, MI 481114307
Phone:
Type: Mailing
5450 FORT ST
TRENTON, MI 481834601
Phone: (734) 642-2154
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone:
Type: Mailing
18101 OAKWOOD BLVD
DEARBORN, MI 481244089
Phone: (313) 593-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $6.
Total Amount is formed as General ($6) + Research ($0) + Ownership ($0) = $6.
Last reported payment date: 2023-04-21 • Largest payer in this snapshot: MY01 Inc. ($6).
Total Amount
$6
General + Research + Ownership
Payments
1
Total payment records
General Amount
$6
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MY01 Inc. | $6 |
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: 2025-06-14
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 |
|---|---|---|---|---|
| I20250614000221 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48183)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Interventional Radiology, Diagnostic Radiology | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | MI | |
| - | MI | |
| Emergency Medicine | CA | |
| - | MI |
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