MRS. ANJANETTE MICHELLE DEVINE FNP
NPI 1215218292
Nurse Practitioner - Family in Jackson, MS

Active since September 02, 2011PECOS EnrolledAccepts Medicare Assignment
4541 N STATE ST, JACKSON, MS 39206(601) 533-7017 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Mar 10, 2025, Mar 15, 2017 (3 updates tracked since 2017).

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

NPI1215218292
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANJANETTE MICHELLE DEVINECredential: FNP
Location Address4541 N STATE STJackson, MS 39206-5308
Mailing AddressPo Box 746085Atlanta, GA 30374-6085 · (469) 727-6675
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 2, 2011
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1215218292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R874930
4541 N STATE ST, Jackson, MS 39206

Other Names 1

Former Name (1)Ms. Anjanette Michelle Jackson Fnp

Secondary Practice Location 1

Location 1330 S Chiloquin BlvdChiloquin, OR 97624-6747 · Phone (541) 882-1487 ext. 380 · Fax (541) 783-3273

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9931373289
PECOS Enrollment IDI20120413000476, I20161201000562
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.

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Physician 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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$108.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
4541 N STATE ST
JACKSON, MS 39206
Family Medicine
4541 N STATE ST
JACKSON, MS 39206
Family Medicine
4541 N STATE ST
JACKSON, MS 39206
Nurse Practitioner (Family)
4541 N STATE ST
JACKSON, MS 39206
Family Medicine
4541 N STATE ST
JACKSON, MS 39206
Family Medicine
4541 N STATE ST
JACKSON, MS 39206
Nurse Practitioner
4541 N STATE ST
JACKSON, MS 39206

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.

What insurance does Anjanette Devine accept?

Health plans from Moda Health Plan, Inc. 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 16 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.