Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desmyn Pedersen, DO

Individual provider Anesthesiology Physician · NPI 1780146696

Desmyn Pedersen, DO is an Anesthesiology in Flagstaff, Arizona. Qualified in 2021, 5 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 779-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2880 N Tenaya Way Fl 2, Las Vegas, NV 89128-0618 — (702) 962-9563

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 011671 (AZ)

Record details

NPI number1780146696
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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