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

Devon Nicole Anderson, PA-C

Individual provider Physician Assistant · NPI 1023663598

Devon Nicole Anderson, PA-C is a Physician Assistant in Grand Forks, North Dakota. Qualified in 2019, 7 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska, Minnesota, North Dakota and Utah.

Years since qualifying
7
Licensed in
AK, MN, ND, UT
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3674 S Washington St
Grand Forks, ND 58201-5766
Phone: (701) 205-3000
Fax: (701) 732-2501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0802 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 153663 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 11467955-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 13224 (MN)

Record details

NPI number1023663598
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Grand Forks