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NATHAN M DEVENNEY MD
NPI 1578023727
Pediatrics - Adolescent Medicine in Dansville, NY

Active since March 23, 2019PECOS Enrolled
22 RED JACKET ST, DANSVILLE, NY 14437(585) 335-5200(585) 335-8579 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Jul 5, 2023, Apr 22, 2020 and 2 more (5 updates tracked since 2019).

About Nathan M Devenney Md NPPES

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

NATHAN M DEVENNEY MD (NPI 1578023727) is an individual adolescent medicine provider in Dansville, New York, licensed in New York (324545) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578023727
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameNATHAN M DEVENNEYCredential: MD
Location Address22 RED JACKET STDansville, NY 14437
Mailing AddressPo Box 499Dansville, NY 14437 · (585) 335-5200 · Fax (585) 335-8579
Phone(585) 335-5200
Fax(585) 335-8579
Sole ProprietorNo
Enumeration DateMarch 23, 2019
Last NPPES UpdateApril 3, 20265 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1578023727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 324545
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 324545 (NY), 125.074934 (IL)
22 RED JACKET ST, Dansville, NY 14437
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Other Identifiers 1

Medicaid07757459NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan M Devenney Md 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 Reassignment

Medicare enrollment records show Nathan Devenney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crystal Run Healthcare Physicians LLP
188 mi
General Practice
155 CRYSTAL RUN RD
Middletown, NY 10941
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1952376410 (845) 703-6999

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

Other Providers at the Same Location NPPES 12

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

CAITLIN ALBANO
Pediatrics
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200
DEANNA LYONS M.D.
Pediatrics (Adolescent Medicine)
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200
DR. JASON ELWELL MD
Pediatrics
22 RED JACKET ST, STONY BROOK PEDIATRICS
DANSVILLE, NY 14437
Livingston County (585) 335-5200
MRS. KATHRYN VIOLET EDWARDS RN, CPNP
Nurse Practitioner (Pediatrics)
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200
JENNIFER IRENE DONATELLA PA
Physician Assistant
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200
PATRICIA WHEELER P.A.
Physician Assistant
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200
DIANNE RAPP M.D.
Pediatrics (Adolescent Medicine)
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200
DR. JENNIFER GRAHAM M.D.
Family Medicine
22 RED JACKET ST
DANSVILLE, NY 14437
Livingston County (585) 335-5200

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 Nathan Devenney's NPI number?

The NPI number for Nathan Devenney is 1578023727. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Nathan Devenney located?

Nathan Devenney practices at 22 Red Jacket St, Dansville, NY 14437. The listed phone number is (585) 335-5200.

What is Nathan Devenney's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Nathan Devenney enrolled in Medicare?

Yes. Nathan Devenney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Devenney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Devenney reassigns Medicare benefits to Crystal Run Healthcare Physicians LLP (Middletown, NY). 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 Nathan Devenney'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 Nathan Devenney was last updated on April 3, 2026. 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.