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DR. KATELYN MIRANDA DEVERAUX DO
NPI 1386225522
General Practice in Grand Junction, CO

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
2570 PATTERSON RD # RS, GRAND JUNCTION, CO 81505(970) 298-6601 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Jul 2, 2021, Apr 19, 2021 (3 updates tracked since 2021).

About Dr. Katelyn Miranda Deveraux Do NPPES

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

DR. KATELYN MIRANDA DEVERAUX DO (NPI 1386225522) is an individual general practice provider in Grand Junction, Colorado, licensed in Colorado (DR.0069707) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386225522
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. KATELYN MIRANDA DEVERAUXCredential: DO
Location Address2570 PATTERSON RD # RSGrand Junction, CO 81505-1438
Mailing Address2570 Patterson Rd # RsGrand Junction, CO 81505-1438
Phone(970) 298-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 19, 2021
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1386225522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · DR.0069707
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2570 PATTERSON RD # RS, Grand Junction, CO 81505
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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 and accepts Medicare assignment

Dr. Katelyn Miranda Deveraux Do 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 ID7113328105
PECOS Enrollment IDI20250421000805
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.

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 Katelyn Deveraux's NPI number?

The NPI number for Katelyn Deveraux is 1386225522. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Katelyn Deveraux located?

Katelyn Deveraux practices at 2570 Patterson Rd # Rs, Grand Junction, CO 81505. The listed phone number is (970) 298-6601.

What is Katelyn Deveraux's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Katelyn Deveraux enrolled in Medicare?

Yes. Katelyn Deveraux 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.

When was this NPI record last updated?

The NPPES record for Katelyn Deveraux was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.