AMANDA SKVORTSOV APRN
NPI 1063238665
Nurse Practitioner - Family in Broken Arrow, OK

Q: What is Amanda Skvortsov's NPI number?

The NPI number for Amanda Skvortsov is 1063238665. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Q: What is Amanda Skvortsov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Skvortsov was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 27, 2024

109 W COMMERCIAL ST, BROKEN ARROW, OK 74012(918) 887-8300 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Skvortsov Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SKVORTSOV APRN (NPI 1063238665) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (221063) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1063238665

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA SKVORTSOVCredential: APRN

Location Address109 W COMMERCIAL STBroken Arrow, OK 74012-4012

Mailing Address31193 E 64th St SBroken Arrow, OK 74014-8529 · (941) 350-5179

Phone(918) 887-8300

Sole ProprietorNo

Enumeration DateNovember 27, 2024

Last NPPES UpdateDecember 2, 2024

NPPES CertifiedDecember 2, 2024

✔ NPI 1063238665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 221063

109 W COMMERCIAL ST, Broken Arrow, OK 74012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN WILLSON

Nurse Practitioner

109 W COMMERCIAL ST
BROKEN ARROW, OK 74012

Tulsa County (918) 887-8300

PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC

Clinic/Center (Primary Care)

109 W COMMERCIAL ST
BROKEN ARROW, OK 74012

Tulsa County (918) 724-3952

ASHTON DANIELLE PETERSON

Nurse Practitioner (Family)

109 W COMMERCIAL ST
BROKEN ARROW, OK 74012

Tulsa County (918) 887-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Skvortsov's NPI number?

The NPI number for Amanda Skvortsov is 1063238665. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Where is Amanda Skvortsov located?

Amanda Skvortsov practices at 109 W Commercial St, Broken Arrow, OK 74012. The listed phone number is (918) 887-8300.

What is Amanda Skvortsov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Amanda Skvortsov accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Amanda Skvortsov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Skvortsov was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.