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RAECHEL DEVINE AGNP-BC
NPI 1265945620
Nurse Practitioner - Adult Health in Syracuse, NY

Active since November 08, 2017PECOS Enrolled
88.11/100
CMS Quality Rating
90 PRESIDENTIAL PLAZA, SYRACUSE, NY 13202(315) 464-4686(315) 464-7106 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2021, Nov 8, 2017 (2 updates tracked since 2017).

About Raechel Devine Agnp-bc NPPES

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

RAECHEL DEVINE AGNP-BC (NPI 1265945620) is an individual adult health provider in Syracuse, New York, licensed in New York (F308436-1) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265945620
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRAECHEL DEVINECredential: AGNP-BC
Location Address90 PRESIDENTIAL PLAZASyracuse, NY 13202
Mailing Address90 Presidential PlzSyracuse, NY 13202-2240 · (315) 464-4686
Phone(315) 464-4686
Fax(315) 464-7106
Sole ProprietorNo
Enumeration DateNovember 8, 2017
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1265945620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308436-1
90 PRESIDENTIAL PLAZA, Syracuse, NY 13202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raechel Devine Agnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Raechel Devine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upstate Family And Preventive Medicine, Inc
0.4 mi
Family Medicine
475 IRVING AVE, SUITE 200
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
NPI 1073988911 (315) 464-4686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13202 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.66
Promoting Interoperability100
Improvement Activities40
Cost61.75

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.

SAVERIO J. BARBERA MD
Internal Medicine (Cardiovascular Disease)
90 PRESIDENTIAL PLAZA, STE 5010
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
ELIZABETH GERALYN HALL NP
Nurse Practitioner (Family)
90 PRESIDENTIAL PLAZA, 2ND FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-3833
AIMEE HILLMAN NP
Nurse Practitioner (Family)
90 PRESIDENTIAL PLAZA
SYRACUSE, NY 13202
Onondaga County (315) 464-4686
JAMES ANTHONY TRAVER MD
Internal Medicine
90 PRESIDENTIAL PLAZA, UHCC, ADULT MEDICINE
SYRACUSE, NY 13202
Onondaga County (315) 464-5240
MR. DIMITRIOS S MASTROGIANNIS MD,PHD,FACOG
Obstetrics & Gynecology (Maternal & Fetal Medicine)
90 PRESIDENTIAL PLAZA, 3RD FL
SYRACUSE, NY 13202
Onondaga County (315) 464-4458
MRS. HEATHER ANN MULLIN PNP
Nurse Practitioner (Pediatrics)
90 PRESIDENTIAL PLAZA, 3RD FL
SYRACUSE, NY 13202
Onondaga County (315) 464-4357
NAMRATA PARIKH MD
Internal Medicine (Nephrology)
90 PRESIDENTIAL PLAZA, FIRM C
SYRACUSE, NY 13202
Onondaga County (315) 464-3834
MRS. CYNTHIA ANN DAVIS FNP-C
Nurse Practitioner (Family)
90 PRESIDENTIAL PLAZA, 3RD FL
SYRACUSE, NY 13202
Onondaga County (315) 464-4357

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 Raechel Devine's NPI number?

The NPI number for Raechel Devine is 1265945620. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Raechel Devine located?

Raechel Devine practices at 90 Presidential Plaza, Syracuse, NY 13202. The listed phone number is (315) 464-4686.

What is Raechel Devine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Raechel Devine enrolled in Medicare?

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

Which organization bills Medicare for Raechel Devine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raechel Devine reassigns Medicare benefits to Upstate Family And Preventive Medicine, Inc (Syracuse, NY). The 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 Raechel Devine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raechel Devine was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.