MRS. ANJANETTE MICHELLE DEVINE FNP
NPI 1215218292
Nurse Practitioner - Family in Jackson, MS
About Mrs. Anjanette Michelle Devine Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANJANETTE MICHELLE DEVINE FNP (NPI 1215218292) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R874930) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains a secondary practice location in Chiloquin.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Anjanette Michelle Devine Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Anjanette Devine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raymond, NH 03077
- Reassigned Medicare billing, Mississippi enrollment
- 25 clinicians in this Medicare group
Chiloquin, OR 97624
- Reassigned Medicare billing, Oregon enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sky Lakes Medical Center
Acute Care Hospitals · Klamath Falls, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anjanette Devine's NPI number?
The NPI number for Anjanette Devine is 1215218292. It was assigned to this individual provider in the NPPES registry on September 2, 2011. The provider is also known as Ms. Anjanette Michelle Jackson Fnp.
Where is Anjanette Devine located?
Anjanette Devine practices at 4541 N State St, Jackson, MS 39206. The listed phone number is (601) 533-7017.
What is Anjanette Devine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anjanette Devine enrolled in Medicare?
Yes. Anjanette Devine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Anjanette Devine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anjanette Devine reassigns Medicare benefits to 2 organizations: Oak Street Health Physicians Group Of Mississippi, LLC (Raymond, NH) and Klamath Tribal Health & Family Services (Chiloquin, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anjanette Devine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anjanette Devine accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Anjanette Devine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Anjanette Devine affiliated with any hospitals?
According to CMS data, Anjanette Devine is affiliated with Sky Lakes Medical Center.
When was this NPI record last updated?
The NPPES record for Anjanette Devine was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Anjanette Michelle Devine, FNP · NPI 1215218292
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since September 2, 2011.
## Identity
- **NPI:** 1215218292 (Entity type: Individual)
- **Enumerated:** September 2, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R874930 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4541 N STATE ST, Jackson, MS 39206-5308
- **Phone:** (601) 533-7017
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Oak Street Health Physicians Group Of Mississippi, LLC (NPI 1235754995, Raymond, NH); Klamath Tribal Health & Family Services (NPI 1629078274, Chiloquin, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215218292) · Data from the CMS NPPES public registry.