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DEVYN ROCHELLE ELLISON NP
NPI 1316671449
Nurse Practitioner - Pediatrics in Rochester, NY

Active since July 14, 2022PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-4113 Get Directions Write a Review

NPPES record last updated: July 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2023, Jul 22, 2022, Jul 14, 2022 (3 updates tracked since 2022).

About Devyn Rochelle Ellison Np NPPES

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

DEVYN ROCHELLE ELLISON NP (NPI 1316671449) is an individual pediatrics provider in Rochester, New York, licensed in New York (383412) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316671449
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDEVYN ROCHELLE ELLISONCredential: NP
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 276-4113
Phone(585) 275-4113
Sole ProprietorNo
Enumeration DateJuly 14, 2022
Last NPPES UpdateJuly 22, 20233 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1316671449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383412
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 383412 (NY)
601 ELMWOOD AVE, Rochester, NY 14642
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Other Names 1

Former Name (1)Devyn Rochelle Dickson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devyn Rochelle Ellison Np 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 Reassignments

4

Medicare enrollment records show Devyn Ellison reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric G I Nutrition
Same address
Pediatric Gastroenterology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1710918305 (585) 275-7787
Pediatric Group Univ Of Rochester
Same address
Pediatric Hematology-Oncology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 88 clinicians in this Medicare group
NPI 1083271787 (585) 275-2981
Pediatric Immun-Nephr-Rheumology
Same address
Pediatric Nephrology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 35 clinicians in this Medicare group
NPI 1205940152 (585) 275-7787
University Of Rochester
Same address
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100

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 14642 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.

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Devyn Ellison's NPI number?

The NPI number for Devyn Ellison is 1316671449. It was assigned to this individual provider in the NPPES registry on July 14, 2022. The provider is also known as Devyn Rochelle Dickson.

Where is Devyn Ellison located?

Devyn Ellison practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-4113.

What is Devyn Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Devyn Ellison enrolled in Medicare?

Yes. Devyn Ellison is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Devyn Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devyn Ellison reassigns Medicare benefits to 4 organizations: Pediatric G I Nutrition (Rochester, NY), Pediatric Group Univ Of Rochester (Rochester, NY), Pediatric Immun-Nephr-Rheumology (Rochester, NY) and University Of Rochester (Rochester, NY). Each 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 Devyn Ellison'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 Devyn Ellison was last updated on July 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.