KIMBERLY SUE DEVLIN D.O.
NPI 1891014569
Family Medicine in Grand Rapids, MI
About Kimberly Sue Devlin D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SUE DEVLIN D.O. (NPI 1891014569) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101018649) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grand Haven.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kimberly Sue Devlin D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Devlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Kimberly Devlin's NPI number?
The NPI number for Kimberly Devlin is 1891014569. It was assigned to this individual provider in the NPPES registry on May 20, 2010.
Where is Kimberly Devlin located?
Kimberly Devlin practices at 75 Sheldon Ave SE Ste 101, Grand Rapids, MI 49503. The listed phone number is (616) 391-2420.
What is Kimberly Devlin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kimberly Devlin enrolled in Medicare?
Yes. Kimberly Devlin 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 Kimberly Devlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Devlin reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Kimberly Devlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Devlin accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly Devlin 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.
Is Kimberly Devlin affiliated with any hospitals?
According to CMS data, Kimberly Devlin is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Kimberly Devlin was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kimberly Sue Devlin, D.O. · NPI 1891014569
Family Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 20, 2010.
## Identity
- **NPI:** 1891014569 (Entity type: Individual)
- **Enumerated:** May 20, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101018649 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 SHELDON AVE SE STE 101, Grand Rapids, MI 49503-4224
- **Phone:** (616) 391-2420
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1790093763, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2010
## Record status
- **NPPES last updated:** March 2, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1891014569) · Data from the CMS NPPES public registry.