NICHOLAS DEVETTER DO
NPI 1114677671
Family Medicine in Saint Peter, MN
About Nicholas Devetter Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS DEVETTER DO (NPI 1114677671) is an individual family medicine provider in Saint Peter, Minnesota, licensed in Minnesota (74880) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2022).
NPPES Registry Identity
Specialties & Licenses
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
Nicholas Devetter Do 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 Nicholas Devetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mankato, MN 56001
- Reassigned Medicare billing, Minnesota enrollment
- 322 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Health System - Mankato
Acute Care Hospitals · Mankato, MNRiver's Edge Hospital & Clinic
Critical Access Hospitals · St Peter, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56082 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PETER, MN 56082
ST PETER, MN 56082
SAINT PETER, MN 56082
ST PETER, MN 56082
SAINT PETER, MN 56082
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 Nicholas Devetter's NPI number?
The NPI number for Nicholas Devetter is 1114677671. It was assigned to this individual provider in the NPPES registry on March 28, 2022.
Where is Nicholas Devetter located?
Nicholas Devetter practices at 1901 Old Minnesota Ave, Saint Peter, MN 56082. The listed phone number is (507) 625-1811.
What is Nicholas Devetter's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nicholas Devetter enrolled in Medicare?
Yes. Nicholas Devetter 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 Nicholas Devetter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Devetter reassigns Medicare benefits to Mankato Clinic Ltd (Mankato, MN). 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 Nicholas Devetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Devetter accept?
Health plans from Sanford Health Plan list Nicholas Devetter 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 Nicholas Devetter affiliated with any hospitals?
According to CMS data, Nicholas Devetter is affiliated with Mayo Clinic Health System - Mankato and River's Edge Hospital & Clinic.
When was this NPI record last updated?
The NPPES record for Nicholas Devetter was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Nicholas Devetter, DO · NPI 1114677671
Family Medicine physician in Saint Peter, Minnesota. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1114677671 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 74880 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 OLD MINNESOTA AVE, Saint Peter, MN 56082-1763
- **Phone:** (507) 625-1811 · **Fax:** (507) 934-0012
## 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:** Mankato Clinic Ltd (NPI 1629044029, Mankato, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2022
## Record status
- **NPPES last updated:** September 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114677671) · Data from the CMS NPPES public registry.