Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zackery R Devine, PA

Individual provider Physician Assistant · NPI 1700487147

Zackery R Devine, PA is a Physician Assistant in Edmond, Oklahoma. Qualified in 2020, 6 years ago. Practices with Hillcrest Urgent Care, LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2017 W I 35 Frontage Rd Ste 140
Edmond, OK 73013-8555
Phone: (405) 757-3710
Fax: (405) 757-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4394 (OK)

Record details

NPI number1700487147
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address2017 W I 35 Frontage Rd Ste 140, Edmond, OK 73013-8555

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hillcrest Urgent Care, Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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