Individual provider Active NPI

Devin Lynn Peery, ARNP

  • Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1295717866
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R64970 Issued in OK
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

Updated by the provider on Aug 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200073710AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000470 OK Practitioner - Nurse Practitioner 3678597457 Reassigns benefits to 12 organizations

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
DSB Medical Services CorpGroup PAC ID 7214398833, 2 clinicians

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 Hospital, Ardmore, OK, CCN 370047
  • Exceptional Community Hospital Ardmore Hospital, Ardmore, OK, CCN 370247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R64970OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KTS LLC Current Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Mar 1, 2017 Accepting new patients
Emergency Services of Oklahoma PC Nurse Practitioner CurrentSince Jan 1, 2011 Accepting new patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
DSB Medical Services Corp CurrentSince Jun 17, 2023 Accepting new patients
Mercy Hospital Tishomingo, Inc CurrentSince Jul 1, 2018 Accepting new patients
Emergency Physicians of Mid-America, P.C. Nurse Practitioner CurrentSince Jul 8, 2014 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Oct 1, 2016 Accepting new patients
Mercy Hospital Logan County Inc CurrentSince Mar 1, 2017 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Sep 2, 2014 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Oklahoma Emergency Services PC Nurse Practitioner CurrentSince Jan 1, 2011 Accepting new patients
South Central Emergency Services PC Nurse Practitioner CurrentSince Sep 6, 2012 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Sep 2, 2014 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.