KOURTNEY PETERSON
NPI 1093165227
Nurse Practitioner - Family in Oklahoma City, OK

Active since June 19, 2016PECOS EnrolledAccepts Medicare Assignment
721 W BRITTON RD, OKLAHOMA CITY, OK 73114(405) 632-6688 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2017, Mar 1, 2017, Feb 20, 2017 and 1 more (4 updates tracked since 2016).

About Kourtney Peterson NPPES

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

KOURTNEY PETERSON (NPI 1093165227) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (104671) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093165227
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKOURTNEY PETERSON
Location Address721 W BRITTON RDOklahoma City, OK 73114-2909
Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 19, 2016
Last NPPES UpdateFebruary 21, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1093165227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 104671
Also ListedRegistered NurseTaxonomy 163W00000X · License 104671 (OK)
721 W BRITTON RD, Oklahoma City, OK 73114

Secondary Practice Location 1

Location 11025 Straka TerOklahoma City, OK 73139-2544 · Phone (405) 632-6688

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kourtney Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123387131
PECOS Enrollment IDI20180122000375
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Family Medicine
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Family)
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Family Medicine
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Advanced Practice Midwife
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Family Medicine
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Family Medicine
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Physician Assistant
721 W BRITTON RD
OKLAHOMA CITY, OK 73114
Physician Assistant (Medical)
721 W BRITTON RD
OKLAHOMA CITY, OK 73114

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 Kourtney Peterson's NPI number?

The NPI number for Kourtney Peterson is 1093165227. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Where is Kourtney Peterson located?

Kourtney Peterson practices at 721 W Britton Rd, Oklahoma City, OK 73114. The listed phone number is (405) 632-6688.

What is Kourtney Peterson's specialty?

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

Is Kourtney Peterson enrolled in Medicare?

Yes. Kourtney Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kourtney Peterson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kourtney Peterson 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 Kourtney Peterson was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.