DR. MICHELYN DEVINE PSY.D.
NPI 1841319225
Psychologist - Clinical in Shelley, ID

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
12047 S 5TH W, SHELLEY, ID 83274(661) 300-0488 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2025, Feb 9, 2023, Nov 23, 2021 (3 updates tracked since 2021).

About Dr. Michelyn Devine Psy.d. NPPES

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

DR. MICHELYN DEVINE PSY.D. (NPI 1841319225) is an individual clinical provider in Shelley, Idaho, licensed in Idaho (PSY-203569) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1841319225
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELYN DEVINECredential: PSY.D.
Location Address12047 S 5TH WShelley, ID 83274-5401
Mailing AddressPo Box 2106Idaho Falls, ID 83403-2106 · (208) 523-5319 · Fax (208) 523-5627
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1841319225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in ID · PSY-203569✔ Licensed in CA · PSY17294
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12047 S 5TH W, Shelley, ID 83274

Accepted Insurance

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

Dr. Michelyn Devine Psy.d. 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 ID2567601370
PECOS Enrollment IDI20241017003521
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 Michelyn Devine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1675 CURLEW DR
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 27 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 83274 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 Michelyn Devine's NPI number?

The NPI number for Michelyn Devine is 1841319225. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Michelyn Devine located?

Michelyn Devine practices at 12047 S 5th W, Shelley, ID 83274. The listed phone number is (661) 300-0488.

What is Michelyn Devine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michelyn Devine enrolled in Medicare?

Yes. Michelyn Devine 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 Michelyn Devine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelyn Devine reassigns Medicare benefits to 4 Pillars Of Success LLC (Ammon, ID). 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 Michelyn Devine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelyn Devine accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Moda Health Plan, Inc. and 4 other insurers list Michelyn Devine 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 Michelyn Devine was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.