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PETER DEFOREST CRNA
NPI 1811953151
Nurse Anesthetist, Certified Registered in Roanoke, VA

Active since April 25, 2006
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Deforest Crna NPPES

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

PETER DEFOREST CRNA (NPI 1811953151) is an individual nurse anesthetist, certified registered in Roanoke, Virginia, licensed in Virginia (0024-161021) and active in the NPI registry since April 2006. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1811953151
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePETER DEFORESTCredential: CRNA
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address908 Quail LnSalem, VA 24153-7716
Phone(540) 981-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1811953151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in VA · 0024-161021
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001-161021 (VA)
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
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Other Identifiers 8

Medicare PIN430066430VA
Medicare UPINR54834
Medicaid8934711VA
Medicaid8934690VA
Medicaid8934495VA
Medicare PIN430001677VA
Medicaid8934720VA
Medicaid8934703VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Deforest Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951357367
PECOS Enrollment IDI20050329001011

Medicare Billing Reassignments

2

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

Fairlawn Surgery Center LLC
0.4 mi
Nurse Anesthetist, Certified Registered
2030 STEPHENSON AVE SW
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
NPI 1174067912 (540) 904-6170
Anesthesia Care Services, PA
39 mi
Nurse Anesthetist, Certified Registered
1834 GRAVES MILL ROAD
Forest, VA 24551
  • Reassigned Medicare billing, Virginia enrollment
  • 19 clinicians in this Medicare group
NPI 1609833474 (888) 447-7220

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 3

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.

Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
47 services44 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
18 services18 patients
Anesthesia for other procedure on lower front abdomen 00800
Anesthesia for a procedure on the lower front abdomen involves administering medicine to help you relax, reduce pain, or make you unconscious during the procedure. This ensures that you remain comfortable and do not feel any discomfort throughout the procedure.
14 services14 patients

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.

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Peter Deforest's NPI number?

The NPI number for Peter Deforest is 1811953151. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Peter Deforest located?

Peter Deforest practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Peter Deforest's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Peter Deforest enrolled in Medicare?

Yes. Peter Deforest is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Deforest's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Deforest reassigns Medicare benefits to 2 organizations: Fairlawn Surgery Center LLC (Roanoke, VA) and Anesthesia Care Services, PA (Forest, VA). 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 Peter Deforest's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Deforest was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.