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MR. DYLAN B DEVRIES PA
NPI 1770760365
Physician Assistant - Medical in Pueblo, CO

Active since January 25, 2008PECOS Enrolled
110 E ROUTT AVE, PUEBLO, CO 81004(719) 543-8711(719) 543-0171 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Dylan B Devries Pa NPPES

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

MR. DYLAN B DEVRIES PA (NPI 1770760365) is an individual medical provider in Pueblo, Colorado, licensed in Georgia (004735) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770760365
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DYLAN B DEVRIESCredential: PA
Location Address110 E ROUTT AVEPueblo, CO 81004-2117
Mailing Address1302 E 5th StPueblo, CO 81001-3754 · (719) 543-8711
Phone(719) 543-8711
Fax(719) 543-0171
Sole ProprietorNo
Enumeration DateJanuary 25, 2008
Last NPPES UpdateJune 13, 2016
✔ NPI 1770760365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 004735
110 E ROUTT AVE, Pueblo, CO 81004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dylan B Devries Pa 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims45 services$6.05 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$96.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$85.39 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 17

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

RUTH BAILEY RN
Registered Nurse (Community Health)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
MS. LAURA MICHELLE GRUNEWALD N.P.
Nurse Practitioner (Family)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
TIFFANY HILBY CNM
Advanced Practice Midwife
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
KIMBERLY ANN PALLAZOLA FNP-BC
Nurse Practitioner
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
TSOMORLOG AUSTIN FNP-C
Nurse Practitioner (Family)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
CHARMAYNE N SANDOVAL LCSW
Social Worker (Clinical)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
PUEBLO COMMUNITY HEALTH CENTER INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
MARIO ANTHONY CRUZ PHARMD
Pharmacist
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 476-0214

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 Dylan Devries's NPI number?

The NPI number for Dylan Devries is 1770760365. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Dylan Devries located?

Dylan Devries practices at 110 E Routt Ave, Pueblo, CO 81004. The listed phone number is (719) 543-8711.

What is Dylan Devries's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dylan Devries enrolled in Medicare?

Yes. Dylan Devries is registered in the Medicare PECOS enrollment system.

What insurance does Dylan Devries accept?

Health plans from Blue Cross and Blue Shield of NC list Dylan Devries as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Devries was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.