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NICHOLAS DEVETTER DO
NPI 1114677671
Family Medicine in Saint Peter, MN

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
1901 OLD MINNESOTA AVE, SAINT PETER, MN 56082(507) 625-1811(507) 625-4754 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Aug 6, 2025 (2 updates tracked since 2025).

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

NPI1114677671
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS DEVETTERCredential: DO
Location Address1901 OLD MINNESOTA AVESaint Peter, MN 56082-1763
Mailing AddressPo Box 8674Mankato, MN 56002-8674 · (507) 625-1811 · Fax (507) 625-4754
Phone(507) 625-1811
Fax(507) 625-4754
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1114677671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 74880
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 OLD MINNESOTA AVE, Saint Peter, MN 56082
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1951780725
PECOS Enrollment IDI20250725000088
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.

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, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

River's Edge Hospital & Clinic

Critical Access Hospitals · St Peter, MN
OwnershipGovernment - Local
CMS Certification Number241334
Location1900 North Sunrise DriveSt Peter, MN 56082 · Nicollet County
Emergency services

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 8

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

JEFFREY THOMAS WEIDEMAN PA-C
Physician Assistant (Medical)
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 934-2325
JULIE K DRIER MD
Dermatology
1901 OLD MINNESOTA AVE, MANKATO CLINIC AT DANIELS HEALTH CENTER
ST PETER, MN 56082
Nicollet County (507) 934-2325
KENDRA LEE FINN DO
Family Medicine
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 625-1811
LON T KNUDSON MD
Pediatrics
1901 OLD MINNESOTA AVE, MANKATO CLINIC @ DANIELS HEALTH CENTER
SAINT PETER, MN 56082
Nicollet County (507) 934-2325
ROBERT K GAZZOLA MD
Family Medicine
1901 OLD MINNESOTA AVE, MANKATO CLINIC AT DANIELS HEALTH CENTER
ST PETER, MN 56082
Nicollet County (507) 934-2325
KRISTEN L HOLLAND M.D.
Family Medicine
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 625-1811
KATLYN MICHELLE SCHWEDER CNP
Nurse Practitioner (Family)
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 934-2325
MANKATO CLINIC LTD
Non-Pharmacy Dispensing Site
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 934-2325

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.

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 January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.