HANNAH STATZ DEVRIES MD - NPI 1023547486 - Psychiatry & Neurology in Sioux Falls, SD

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.

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About Hannah Statz Devries Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANNAH STATZ DEVRIES MD (NPI 1023547486) is an individual addiction psychiatry provider in Sioux Falls, South Dakota, licensed in South Dakota (13303) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2017).

NPPES Registry Identity

NPI1023547486

Entity TypeIndividualFemale

Primary Taxonomy2084P0802X

Provider Legal NameHANNAH STATZ DEVRIESCredential: MD

Location Address4400 W 69TH ST STE 1500Sioux Falls, SD 57108-8171

Mailing Address4400 W 69th St Ste 1500Sioux Falls, SD 57108-8171 · (605) 322-5700

Phone(605) 322-5700

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2017

Enumeration DateJune 8, 2017

Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1023547486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0802X

Licenses✔ Licensed in SD · 13303✔ Licensed in IL · 125070057

Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

4400 W 69TH ST STE 1500, Sioux Falls, SD 57108

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Other Names 1

Former Name (1)Hannah Grace Statz

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hannah Statz Devries Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082984299

PECOS Enrollment IDI20220907002036

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA MICHELLE LINDSAY NOUR PH.D.

Psychologist (Clinical)