JACQUELINE R DEVINE-ROBERTS NP
NPI 1336285931
Nurse Practitioner in Grand Forks, ND

Q: What is Jacqueline Devine-roberts's NPI number?

The NPI number for Jacqueline Devine-roberts is 1336285931. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Jacqueline Devine-roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment

960 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-6000 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jacqueline R Devine-roberts Np NPPES

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

JACQUELINE R DEVINE-ROBERTS NP (NPI 1336285931) is an individual nurse practitioner in Grand Forks, North Dakota, licensed in North Dakota (R25732) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1336285931

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE R DEVINE-ROBERTSCredential: NP

Location Address960 S COLUMBIA RDGrand Forks, ND 58201-4030

Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000

Phone(701) 780-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJune 18, 2020

NPPES CertifiedJune 18, 2020

✔ NPI 1336285931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ND · R25732

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

960 S COLUMBIA RD, Grand Forks, ND 58201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline R Devine-roberts Np 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 ID9234293929

PECOS Enrollment IDI20100817001414

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 Jacqueline Devine-roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Altru Health System

0.1 mi

General Acute Care Hospital

1200 S COLUMBIA RD
Grand Forks, ND 58201

Reassigned Medicare billing, Minnesota and North Dakota enrollments
193 clinicians in this Medicare group

NPI 1154346161 (701) 780-5000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

346 services217 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

184 services126 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

83 services68 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

41 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Pembina County Memorial Hospital

Critical Access Hospitals · Cavalier, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351319

LocationBox 380Cavalier, ND 58220 · Pembina County

Emergency services

Unity Medical Center

Critical Access Hospitals · Grafton, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351320

Location164 W 13th StreetGrafton, ND 58237 · Walsh County

Emergency services

First Care Health Center

Critical Access Hospitals · Park River, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351326

Location115 Vivian StPark River, ND 58270 · Walsh County

Emergency services

Heart Of America Medical Center

Critical Access Hospitals · Rugby, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351332

Location800 S Main AveRugby, ND 58368 · Pierce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier24 claims24 services$36.87 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers18 claims1,484 services$0.73 avg. paid by Medicare

Injection, fluorouracil, 500 mg J9190

Treatment-Chemotherapy · category RH002N

1 supplier24 claims232 services$1.60 avg. paid by Medicare

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

1 supplier12 claims36 services$30.66 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers18 claims18 services$18.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

KAYLA CLAUSEN FNP-C

Nurse Practitioner (Family)