ROBERT E. DEVELLE (PA-C) – Physician Assistant, NPI 1598709248
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ROBERT E. DEVELLE (PA-C)
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Fax: (702) 838-1456
Type: Mailing
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone: (888) 803-3370
Type: Location
888 S Rancho Dr
Las Vegas, NV 891063810
Phone: (702) 877-5199
Type: Location
Marina Del Rey Post Office, 4325 Suite C9, Glencoe Avenue, Los Angeles, Los Angeles County, California, 90292, United States
SUITE 260
MARINA DEL REY, CA 902926385
Phone: (310) 301-2030
Fax: (310) 306-5247
Type: Mailing
Glendale Adventist Medical Center, 1509, Wilson Terrace, Glendale, Los Angeles County, California, 91206, United States
EMERGENCY DEPARTMENT
GLENDALE, CA 912064007
Phone: (818) 409-8000
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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20110212000102 | I | Physician Assistant | CA | TBD |
| I20140625002662 | I | Physician Assistant | NV | TBD |
| I20251104004334 | I | Physician Assistant | LA | 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 89133)
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