DR. STACEY E DEVINE M.D.
NPI 1912986852
Family Medicine in Cornelius, NC
About Dr. Stacey E Devine M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACEY E DEVINE M.D. (NPI 1912986852) is an individual family medicine provider in Cornelius, North Carolina, licensed in North Carolina (200401383) and active in the NPI registry since January 2006. She has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Stacey E Devine M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2017 through August 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28031 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORNELIUS, NC 28031
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 Stacey Devine's NPI number?
The NPI number for Stacey Devine is 1912986852. It was assigned to this individual provider in the NPPES registry on January 10, 2006.
Where is Stacey Devine located?
Stacey Devine practices at 19485 Old Jetton Rd Suite 100, Cornelius, NC 28031. The listed phone number is (704) 384-1775.
What is Stacey Devine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stacey Devine enrolled in Medicare?
No. Stacey Devine has opted out of Medicare through August 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Stacey Devine was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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. Stacey E Devine, M.D. · NPI 1912986852
Family Medicine physician in Cornelius, North Carolina. Individual provider, active in the CMS NPPES registry since January 10, 2006.
## Identity
- **NPI:** 1912986852 (Entity type: Individual)
- **Enumerated:** January 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 200401383 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 19485 OLD JETTON RD, SUITE 100, Cornelius, NC 28031-6582
- **Phone:** (704) 384-1775 · **Fax:** (704) 384-1776
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 18, 2015
- **Other identifiers:** Medicare UPIN 2036412A (NC); Medicaid 5900010 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1912986852) · Data from the CMS NPPES public registry.