MR. DEVON D PETERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1245278035
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR
Provider Addresses for MR. DEVON D PETERSON (CRNA)
3043 NE 28TH ST
LINCOLN CITY, OR 973674518
Phone: (541) 994-3661
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
Roy, Weber County, Utah, 84067, United States
ROY, UT 840670210
Phone: (801) 825-4700
Fax: (801) 825-9076
Type: Mailing
1500 North, Nephi, Juab County, Utah, 84648, United States
Nephi, UT 846488900
Phone: (435) 623-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Acella Pharmaceuticals, LLC ($26).
Total Amount
$86
General + Research + Ownership
Payments
4
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acella Pharmaceuticals, LLC | $26 |
| Boston Scientific Corporation | $23 |
| Stryker Corporation | $19 |
| Merck Sharp & Dohme LLC | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040419000474 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20230426001858 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Family Practice | OR | |
| P O D I A T R Y | OR | |
| Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | MN | |
| - | IL |
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