MRS. PHYLLIS A. PEACE APRN
NPI 1225434756
Nurse Practitioner - Family in Owasso, OK

Q: What is Phyllis Peace's NPI number?

The NPI number for Phyllis Peace is 1225434756. It was assigned to this individual provider in the NPPES registry on November 11, 2014.

Q: What is Phyllis Peace'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 Phyllis Peace was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 11, 2014PECOS EnrolledAccepts Medicare Assignment

12455 E 100TH ST N STE 300, OWASSO, OK 74055(918) 274-9700(918) 274-1395 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Phyllis A. Peace Aprn NPPES

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

MRS. PHYLLIS A. PEACE APRN (NPI 1225434756) is an individual family provider in Owasso, Oklahoma, licensed in Oklahoma (79303) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225434756

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PHYLLIS A. PEACECredential: APRN

Location Address12455 E 100TH ST N STE 300Owasso, OK 74055-4678

Mailing Address12455 E 100th St N Ste 300Owasso, OK 74055-4678 · (918) 274-9700 · Fax (918) 274-1395

Phone(918) 274-9700

Fax(918) 274-1395

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 11, 2014

✔ NPI 1225434756 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 · 79303

12455 E 100TH ST N STE 300, Owasso, OK 74055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.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

Mrs. Phyllis A. Peace Aprn 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 ID9830418904

PECOS Enrollment IDI20250416003782

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK

OwnershipTribal

CMS Certification Number370172

Location1 Choctaw WayTalihina, OK 74571 · Latimer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74055 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 7

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

SHELBY LAINE DROEGE DO

Pediatrics