Active NPI
Devin Lynn Peery, ARNP
- Nurse Practitioner
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R64970
- Practice address
- 1011 14TH Ave NW
Ardmore, OK 73401-1828 - Phone
- (580) 220-6658
- Fax
- (580) 220-6673
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R64970 | OK | Primary |
Addresses
Primary practice location
1011 14TH Ave NW
Ardmore, OK 73401-1828
Mailing address
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200073710A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961
Phone (405) 470-3232
Hospital & facility affiliations
- Mercy Hospital Ardmore, Inc
- Exceptional Community Hospital Ardmore
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R64970 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KTS LLC | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Nurse Practitioner | Current | Accepting new patients |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| DSB Medical Services Corp | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc. | Current | Accepting new patients | |
| Oklahoma Emergency Services PC | Nurse Practitioner | Current | Accepting new patients |
| South Central Emergency Services PC | Nurse Practitioner | Current | Accepting new patients |
| Mercy Hospital Watonga Inc | Current | Accepting new patients | |
| Ehc Ardmore LLC | Past | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients |
Locations
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
915 10th Ave NW
Ardmore, OK 73401
Phone (580) 220-6461
7900 NW 23rd St
Ste 1
Bethany, OK 73008
Phone (405) 241-7745
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
201 S Sara Rd
Mustang, OK 73064
Phone (405) 376-4505
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327
500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233
Interoperability endpoints
- dpeery484031@directc.mercy.net
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Bethany, OK
- NPI 1912608613
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
Nurse Practitioner
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
Nurse Practitioner
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Kingfisher, OK
- NPI 1083048417
-
- Diagnostic Radiology Physician
- Kingfisher, OK
- NPI 1285064618
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Emergency Medicine Physician
- Tishomingo, OK
- NPI 1972809002
-
- Critical Access Hospital
- Watonga, OK
- NPI 1497017529
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1114239795
Nurse Practitioner
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Nurse Practitioner
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1780555714
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Ardmore, OK
- NPI 1023754793
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1295717866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 14TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011828",
"telephone_number": "580-220-6658",
"fax_number": "580-220-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 14TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011828",
"telephone_number": "580-220-6658",
"fax_number": "580-220-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEERY",
"first_name": "DEVIN",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R64970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200073710A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.