MRS. ANJANETTE MICHELLE DEVINE (FNP) – Family Nurse Practitioner, NPI 1215218292
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for MRS. ANJANETTE MICHELLE DEVINE (FNP)
PO BOX 490
CHILOQUIN, OR 976240490
Phone: (541) 882-1487
Fax: (541) 783-3273
Type: Mailing
330 S CHILOQUIN BLVD
CHILOQUIN, OR 976246747
Phone: (541) 882-1487
Fax: (541) 783-3273
Type: Location
PO BOX 746085
ATLANTA, GA 303746085
Phone: (469) 727-6675
Type: Mailing
4541 N STATE ST
JACKSON, MS 392065308
Phone: (601) 533-7017
Type: Location
330 S Chiloquin Blvd
Chiloquin, OR 976246747
Phone: (541) 882-1487
Fax: (541) 783-3273
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: 2016-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111122000734 | I | Nurse Practitioner | MS | TBD |
| I20161201000562 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 21 | 17 | $0 |
| 83036 | Hemoglobin a1c level | 16 | 13 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 15 | 14 | $0 |
Insurance plans in this area (ZIP 97624)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MS | |
| Internal Medicine | MS | |
| Nurse Practitioner | MS | |
| Clinical Social Worker | MS | |
| Nurse Practitioner | MS | |
| Family Practice | GA | |
| Family Practice | MS | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| Nurse Practitioner | MS |
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