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Angela Catherine Devore

Specialist β€’ Waite Park, MN

Active NPI 1457964637 Individual Practitioner Female Practitioner
Practice location in NPPES

423 Great Oak Dr
Waite Park, MN 563872507

Call 2182874338 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

423 Great Oak Dr

Waite Park, MN 563872507

Telephone 2182874338
Organization at the Same NPPES Address or Phone
Solutions Behavioral Healthcare Professionals, Pc Facility NPI 1801909239

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sartell, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Waite Park and Minnesota

51 active clinicians are listed under Specialist with a practice address in Waite Park, MN (839 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waite Park

0% of these 51 clinicians have the CMS telehealth indicator.

0% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-28
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

205 14th Ave E

Sartell, MN 563774500

Phone: 3207743436

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1013089937

Master of Education

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 28, 2021

Registered at 423 GREAT OAK DR, WAITE PARK, MN 563872507 (Tel: 2182874338)

πŸ“
Updated Business Mailing Address April 28, 2021

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2021

Specialist

βœ…
NPI Profile Active August 26, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 26, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

πŸ“
Business Mailing Address (Initial Record) August 26, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

πŸ‘€
Provider Name / Credentials (Initial Record) August 26, 2020

Recorded as ANGELA DEVORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 26, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457964637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2020
Last Update: April 28, 2021
Sole Proprietor: No

Mailing Address

891 Belsly Blvd

Moorhead, MN 565605055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.