MR. DEVON D PETERSON CRNA
NPI 1245278035
Nurse Anesthetist, Certified Registered in Lincoln City, OR
About Mr. Devon D Peterson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DEVON D PETERSON CRNA (NPI 1245278035) is an individual nurse anesthetist, certified registered in Lincoln City, Oregon, licensed in Oregon (10004847) and active in the NPI registry since June 2006. He is affiliated with Samaritan North Lincoln Hospital, maintains a secondary practice location in Nephi, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Devon D Peterson Crna 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 Reassignments
4Medicare enrollment records show Devon Peterson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln City, OR 97367
- Reassigned Medicare billing, Oregon enrollment
- 277 clinicians in this Medicare group
Aumsville, OR 97325
- Reassigned Medicare billing, Oregon enrollment
- 152 clinicians in this Medicare group
Lakeview, OR 97630
- Reassigned Medicare billing, Oregon enrollment
- 58 clinicians in this Medicare group
Nephi, UT 84648
- Reassigned Medicare billing, Utah enrollment
- 7 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan North Lincoln Hospital
Critical Access Hospitals · Lincoln City, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LINCOLN CITY, OR 97367
LINCOLN CITY, OR 97367
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 Peterson's NPI number?
The NPI number for Devon Peterson is 1245278035. It was assigned to this individual provider in the NPPES registry on June 3, 2006.
Where is Devon Peterson located?
Devon Peterson practices at 3043 NE 28th St, Lincoln City, OR 97367. The listed phone number is (541) 994-3661.
What is Devon Peterson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Devon Peterson enrolled in Medicare?
Yes. Devon Peterson 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 Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devon Peterson reassigns Medicare benefits to 4 organizations: Samaritan North Lincoln Hospital (Lincoln City, OR), Santiam Memorial Hospital (Aumsville, OR), Lake Health District (Lakeview, OR) and Salt Creek Anesthesia PLLC (Nephi, UT). 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 Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Devon Peterson accept?
Health plans from Select Health list Devon Peterson 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 Devon Peterson affiliated with any hospitals?
According to CMS data, Devon Peterson is affiliated with Samaritan North Lincoln Hospital.
When was this NPI record last updated?
The NPPES record for Devon Peterson was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Devon D Peterson, CRNA · NPI 1245278035
Nurse Anesthetist, Certified Registered physician in Lincoln City, Oregon. Individual provider, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1245278035 (Entity type: Individual)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 10004847 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3043 NE 28TH ST, Lincoln City, OR 97367-4518
- **Phone:** (541) 994-3661
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Samaritan North Lincoln Hospital (NPI 1679927636, Lincoln City, OR); Santiam Memorial Hospital (NPI 1558404103, Aumsville, OR); Lake Health District (NPI 1376698522, Lakeview, OR); Salt Creek Anesthesia PLLC (NPI 1477200947, Nephi, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245278035) · Data from the CMS NPPES public registry.