DEVON BYSTRAK DNP
NPI 1932748936
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since December 23, 2019PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 756-4401 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2022, Aug 16, 2022, Dec 23, 2019 (3 updates tracked since 2019).

About Devon Bystrak Dnp NPPES

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

DEVON BYSTRAK DNP (NPI 1932748936) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (404365) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932748936
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEVON BYSTRAKCredential: DNP
Location Address601 ELMWOOD AVERochester, NY 14642-2341
Mailing Address601 Elmwood AveRochester, NY 14642-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 23, 2019
Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1932748936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404365
601 ELMWOOD AVE, Rochester, NY 14642

Other Names 1

Former Name (1)Devon Gallagher

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

Devon Bystrak Dnp 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 ID1254717283
PECOS Enrollment IDI20220928003561
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 Reassignments

2

Medicare enrollment records show Devon Bystrak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 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 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Devon Bystrak's NPI number?

The NPI number for Devon Bystrak is 1932748936. It was assigned to this individual provider in the NPPES registry on December 23, 2019. The provider is also known as Devon Gallagher.

Where is Devon Bystrak located?

Devon Bystrak practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 756-4401.

What is Devon Bystrak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Devon Bystrak enrolled in Medicare?

Yes. Devon Bystrak 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 Devon Bystrak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devon Bystrak reassigns Medicare benefits to 2 organizations: University Of Rochester (Rochester, NY) and University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY). 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 Devon Bystrak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Devon Bystrak was last updated on March 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.