MS. ALEXANDRIA RENAE DEVAUGHN RN, WHNP-BC
NPI 1578846127
Nurse Practitioner - Women's Health in San Diego, CA

Q: What is Alexandria Devaughn's NPI number?

The NPI number for Alexandria Devaughn is 1578846127. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Q: What is Alexandria Devaughn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since September 20, 2011PECOS EnrolledAccepts Medicare Assignment

1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Alexandria Renae Devaughn Rn, Whnp-bc NPPES

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

MS. ALEXANDRIA RENAE DEVAUGHN RN, WHNP-BC (NPI 1578846127) is an individual women's health provider in San Diego, California, licensed in California (95032003) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1578846127

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMS. ALEXANDRIA RENAE DEVAUGHNCredential: RN, WHNP-BC

Location Address1809 NATIONAL AVESan Diego, CA 92113-2113

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 515-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 20, 2011

Last NPPES UpdateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1578846127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in CA · 95032003✔ Licensed in TX · 732773

1809 NATIONAL AVE, San Diego, CA 92113

Open in Google Maps ↗

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

Ms. Alexandria Renae Devaughn Rn, Whnp-bc 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 ID5294029278

PECOS Enrollment IDI20160815001071, I20241202003797

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92113 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.

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.

ISMAEL LABRA HERNANDEZ

Nutritionist (Nutrition, Education)