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

Peter Deforest, CRNA

Individual provider Registered Nurse · NPI 1811953151

Peter Deforest, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Roanoke, Virginia. Qualified in 1992, 34 years ago. Licensed in Virginia.

Years since qualifying
34
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024-161021 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001-161021 (VA)

Record details

NPI number1811953151
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESMay 6, 2008
Mailing address908 Quail Ln, Salem, VA 24153-7716

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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