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EMILY ANN LARSON DEVINE
NPI 1235888983
Internal Medicine in Fort Worth, TX

Active since March 21, 2022PECOS Enrolled
3800 N TARRANT PKWY STE 210, FORT WORTH, TX 76244(682) 593-6660 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emily Ann Larson Devine NPPES

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

EMILY ANN LARSON DEVINE (NPI 1235888983) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (W0558) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1235888983
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEMILY ANN LARSON DEVINE
Location Address3800 N TARRANT PKWY STE 210Fort Worth, TX 76244-5416
Mailing Address3800 N Tarrant Pkwy Ste 210Fort Worth, TX 76244-5416 · (682) 593-6660
Phone(682) 593-6660
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1235888983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · W0558
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3800 N TARRANT PKWY STE 210, Fort Worth, TX 76244
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Ann Larson Devine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658758131
PECOS Enrollment IDI20250930001118
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 4

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

BEEVA CHUDAL
Nurse Practitioner (Primary Care)
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660
KRISTEN BOLTON P.A.
Physician Assistant
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660
MERENE VALIYAKALAYIL THOMAS DO
Family Medicine
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660
SHAVONNE RENEE BONNER FNP
Nurse Practitioner (Family)
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 76244
Tarrant County (682) 593-6660

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 Emily Devine's NPI number?

The NPI number for Emily Devine is 1235888983. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Emily Devine located?

Emily Devine practices at 3800 N Tarrant Pkwy Ste 210, Fort Worth, TX 76244. The listed phone number is (682) 593-6660.

What is Emily Devine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emily Devine enrolled in Medicare?

Yes. Emily Devine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Devine was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.