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SHANE BRENNA DEVINE DO
NPI 1245033471
Student in an Organized Health Care Education/Training Program in Wpafb, OH

Active since March 31, 2025PECOS Enrolled
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Aug 5, 2025, Mar 31, 2025 (3 updates tracked since 2025).

About Shane Brenna Devine Do NPPES

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

SHANE BRENNA DEVINE DO (NPI 1245033471) is an individual student in an organized health care education/training program in Wpafb, Ohio and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245033471
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANE BRENNA DEVINECredential: DO
Location Address88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.Wpafb, OH 45433
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-9926
Phone(937) 257-9926
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1245033471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
88TH MEDICAL GROUP, Wpafb, OH 45433
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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)

Shane Brenna Devine Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MAGGIE EVISTON DO
Pediatrics
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 522-2778
ROSALINDA FITTS M.D.
Preventive Medicine (Occupational Medicine)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Greene County (937) 257-1942
DR. JASON JAMES HOFSTEDE DO
Family Medicine
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Greene County (937) 522-2778
DAVID NAVEL MD
Preventive Medicine (Aerospace Medicine)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-1942
CHERYL BOUSCHARD PT
Physical Therapist
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-8753
ARTEM TKACHENKO DO
General Practice
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Greene County (937) 257-0837
DR. ALEXANDER VAUN PADALINO DDS
Dentist (Periodontics)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Greene County (210) 292-6258
DR. KRISTIN VOGT MD
Preventive Medicine (Aerospace Medicine)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE
WPAFB, OH 45433
Greene County (937) 255-4809

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 Shane Devine's NPI number?

The NPI number for Shane Devine is 1245033471. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Shane Devine located?

Shane Devine practices at 88th Medical Group 4881 Sugar Maple Dr., Wpafb, OH 45433. The listed phone number is (937) 257-9926.

What is Shane Devine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shane Devine enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shane Devine was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.