DEVON BRUSH FNP-C
NPI 1548060106
Nurse Practitioner - Family in San Diego, CA

Active since March 13, 2025PECOS EnrolledAccepts Medicare Assignment
3710 WABASH AVE APT 120, SAN DIEGO, CA 92104(209) 404-8226 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Devon Brush Fnp-c NPPES

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

DEVON BRUSH FNP-C (NPI 1548060106) is an individual family provider in San Diego, California, licensed in California (95034383) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2024).

NPPES Registry Identity

NPI1548060106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEVON BRUSHCredential: FNP-C
Location Address3710 WABASH AVE APT 120San Diego, CA 92104-3963
Mailing Address3710 Wabash Ave Apt 120San Diego, CA 92104-3963 · (209) 404-8226
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2024
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1548060106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95034383
3710 WABASH AVE APT 120, San Diego, CA 92104

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

Devon Brush Fnp-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 ID7214492446
PECOS Enrollment IDI20260717004355
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 Devon Brush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
27403 YNEZ RD STE 108
Temecula, CA 92591
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group

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 92104 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Devon Brush's NPI number?

The NPI number for Devon Brush is 1548060106. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Devon Brush located?

Devon Brush practices at 3710 Wabash Ave Apt 120, San Diego, CA 92104. The listed phone number is (209) 404-8226.

What is Devon Brush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Devon Brush enrolled in Medicare?

Yes. Devon Brush 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.

Which organization bills Medicare for Devon Brush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devon Brush reassigns Medicare benefits to Jeremy Gomer MD Mobile Providers (Temecula, CA). 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 Devon Brush'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 Devon Brush was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.