DIANA PETERSON M.S, CCC-A
NPI 1366602682
Audiologist in Salem, OR

Q: What is Diana Peterson's NPI number?

The NPI number for Diana Peterson is 1366602682. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Diana Peterson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Peterson was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 10, 2008

3099 RIVER RD S, STE 120, SALEM, OR 97302(503) 485-2581(503) 485-2564 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2018, Mar 23, 2016 (2 updates tracked since 2016).

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About Diana Peterson M.s, Ccc-a NPPES

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

DIANA PETERSON M.S, CCC-A (NPI 1366602682) is an individual audiologist in Salem, Oregon, licensed in Oregon (22596) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1366602682

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameDIANA PETERSONCredential: M.S, CCC-A

Location Address3099 RIVER RD S, STE 120Salem, OR 97302

Mailing Address3099 River Rd S, Ste 120Salem, OR 97302-9754 · (503) 485-2581 · Fax (503) 485-2564

Phone(503) 485-2581

Fax(503) 485-2564

Sole ProprietorNo

Enumeration DateJune 10, 2008

Last NPPES UpdateJuly 10, 20182 updates tracked since enumeration

✔ NPI 1366602682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in OR · 22596

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Also ListedHearing Instrument SpecialistTaxonomy 237700000X · License HAS-P-1002783 (OR)

3099 RIVER RD S, Salem, OR 97302

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Other Identifiers 1

Medicaid500625779OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Peterson M.s, Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

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

Willamette Ear Nose & Throat LLP

0.1 mi

Specialist

3099 RIVER RD S STE 150
Salem, OR 97302

Reassigned Medicare billing, Oregon enrollment
16 clinicians in this Medicare group

NPI 1184821043 (503) 581-9445

South Salem Rehabilitation, LLC

4.4 mi

Skilled Nursing Facility

3445 BOONE RD SE
Salem, OR 97317

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
3,207 clinicians in this Medicare group

NPI 1215071998 (503) 576-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

NADINE SMITH PALMATEER MA

Audiologist

3099 RIVER RD S
SALEM, OR 97302

Marion County (503) 485-2581

WILLAMETTE SLEEP SOLUTIONS LLC

Dentist

3099 RIVER RD S, SUITE 250
SALEM, OR 97302

Marion County (503) 485-2578

CRYSTAL MIYAKE MSCCCA

Audiologist

3099 RIVER RD S, STE 150
SALEM, OR 97302

Marion County (503) 485-2581

DR. CHRISTOPHER THOMAS PRZE MD

Otolaryngology

3099 RIVER RD S
SALEM, OR 97302

Marion County (503) 581-1567

DR. JOHN DONOVAN MD

Otolaryngology

3099 RIVER RD S
SALEM, OR 97302

Marion County (503) 581-1567

BONNIE BROWN

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

3099 RIVER RD S
SALEM, OR 97302

Marion County (503) 581-1567

RIVER ROAD SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

3099 RIVER RD S, SUITE 100
SALEM, OR 97302

Marion County (503) 361-3094

BAREDU BONSO WOTCHA PHYSICIAN ASSISTANT

Physician Assistant

3099 RIVER RD S
SALEM, OR 97302

Marion County (503) 581-1567

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 Diana Peterson's NPI number?

The NPI number for Diana Peterson is 1366602682. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Diana Peterson located?

Diana Peterson practices at 3099 River Rd S Ste 120, Salem, OR 97302. The listed phone number is (503) 485-2581.

What is Diana Peterson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Diana Peterson enrolled in Medicare?

Yes. Diana Peterson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diana Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Peterson reassigns Medicare benefits to 2 organizations: Willamette Ear Nose & Throat LLP (Salem, OR) and South Salem Rehabilitation, LLC (Salem, OR). 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 Diana Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Peterson accept?

Health plans from Kaiser Permanente and Moda Health Plan, Inc. list Diana 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.

When was this NPI record last updated?

The NPPES record for Diana Peterson was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.