MILLIE RUTH WANOUS DEVEREAUX PA-C
NPI 1306678545
Physician Assistant in Little Falls, MN

Active since August 16, 2024PECOS EnrolledAccepts Medicare Assignment
1108 1ST ST SE, LITTLE FALLS, MN 56345(320) 631-2200 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Millie Ruth Wanous Devereaux Pa-c NPPES

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

MILLIE RUTH WANOUS DEVEREAUX PA-C (NPI 1306678545) is an individual physician assistant in Little Falls, Minnesota and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Centracare Health System - Long Prairie, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306678545
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMILLIE RUTH WANOUS DEVEREAUXCredential: PA-C
Location Address1108 1ST ST SELittle Falls, MN 56345-3440
Mailing Address4640 E 54th St Apt 334Sioux Falls, SD 57110-4454 · (507) 363-3353
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
NPI 1306678545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1108 1ST ST SE, Little Falls, MN 56345

Other Names 1

Former Name (1)Emily Ruth Wanous

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

Millie Ruth Wanous Devereaux Pa-c 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 ID3678007788
PECOS Enrollment IDI20241112003928
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centracare Health System - Long Prairie

Critical Access Hospitals · Long Prairie, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241326
Location50 Centracare DriveLong Prairie, MN 56347 · Todd County
Emergency services Birthing friendly

St Gabriels Hospital

Critical Access Hospitals · Little Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241370
Location815 Southeast Second StreetLittle Falls, MN 56345 · Morrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56345 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Physical Therapist
1108 1ST ST SE
LITTLE FALLS, MN 56345
Physical Therapist (Orthopedic)
1108 1ST ST SE
LITTLE FALLS, MN 56345
General Acute Care Hospital (Critical Access)
1108 1ST ST SE
LITTLE FALLS, MN 56345
Orthopaedic Surgery
1108 1ST ST SE
LITTLE FALLS, MN 56345
Podiatrist
1108 1ST ST SE
LITTLE FALLS, MN 56345
Orthopaedic Surgery
1108 1ST ST SE
LITTLE FALLS, MN 56345
Orthopaedic Surgery
1108 1ST ST SE
LITTLE FALLS, MN 56345
Orthopaedic Surgery
1108 1ST ST SE
LITTLE FALLS, MN 56345

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 Millie Devereaux's NPI number?

The NPI number for Millie Devereaux is 1306678545. It was assigned to this individual provider in the NPPES registry on August 16, 2024. The provider is also known as Emily Ruth Wanous.

Where is Millie Devereaux located?

Millie Devereaux practices at 1108 1st St SE, Little Falls, MN 56345. The listed phone number is (320) 631-2200.

What is Millie Devereaux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Millie Devereaux enrolled in Medicare?

Yes. Millie Devereaux 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 Millie Devereaux accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Millie Devereaux 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 Millie Devereaux affiliated with any hospitals?

According to CMS data, Millie Devereaux is affiliated with Centracare Health System - Long Prairie and St Gabriels Hospital.

When was this NPI record last updated?

The NPPES record for Millie Devereaux was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.