DR. KATELYN J MCDEVITT OD
NPI 1912520198
Optometrist in St Louis Park, MN
About Dr. Katelyn J Mcdevitt Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATELYN J MCDEVITT OD (NPI 1912520198) is an individual optometrist in St Louis Park, Minnesota, licensed in Minnesota (3674) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chanhassen, and is a graduate of University Of Houston - College Of Optometry (2020).
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
Dr. Katelyn J Mcdevitt Od 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 Reassignments
2Medicare enrollment records show Katelyn Mcdevitt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Optometric Eye Care Centers, PA
- 11 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katelyn Mcdevitt's NPI number?
The NPI number for Katelyn Mcdevitt is 1912520198. It was assigned to this individual provider in the NPPES registry on May 22, 2020.
Where is Katelyn Mcdevitt located?
Katelyn Mcdevitt practices at 3840 Grand Way, St Louis Park, MN 55416. The listed phone number is (952) 848-2020.
What is Katelyn Mcdevitt's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Katelyn Mcdevitt enrolled in Medicare?
Yes. Katelyn Mcdevitt 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 organizations bill Medicare for Katelyn Mcdevitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Mcdevitt reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (St Louis Park, MN) and Optometric Eye Care Centers, P.A. (Fridley, MN). Each 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 Katelyn Mcdevitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Mcdevitt accept?
Health plans from HealthPartners list Katelyn Mcdevitt 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 Katelyn Mcdevitt was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Katelyn J Mcdevitt, OD · NPI 1912520198
Optometrist provider in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since May 22, 2020.
## Identity
- **NPI:** 1912520198 (Entity type: Individual)
- **Enumerated:** May 22, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3674 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3840 GRAND WAY, St Louis Park, MN 55416-4788
- **Phone:** (952) 848-2020 · **Fax:** (952) 922-2015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Clinic (NPI 1063897593, St Louis Park, MN); Optometric Eye Care Centers, P.A. (NPI 1548356595, Fridley, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** April 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912520198) · Data from the CMS NPPES public registry.