Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNA ADELE PEACOCK PA
NPI 1427776509
Physician Assistant in Tulsa, OK

Q: What is Anna Peacock's NPI number?

The NPI number for Anna Peacock is 1427776509. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Q: What is Anna Peacock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Anna Peacock was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 August 16, 2022PECOS Enrolled

6465 S YALE AVE STE 804, TULSA, OK 74136(918) 502-3550(918) 502-3555 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Aug 3, 2026, Mar 29, 2025 and 1 more (4 updates tracked since 2022).

On this page

About Anna Adele Peacock Pa NPPES

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

ANNA ADELE PEACOCK PA (NPI 1427776509) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5423) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1427776509

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANNA ADELE PEACOCKCredential: PA

Location Address6465 S YALE AVE STE 804Tulsa, OK 74136-7810

Mailing Address2219 E 11th St Unit 306Tulsa, OK 74104-3645 · (405) 593-5162

Phone(918) 502-3550

Fax(918) 502-3555

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 16, 2022

Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1427776509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5423

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6465 S YALE AVE STE 804, Tulsa, OK 74136

Open in Google Maps ↗

Secondary Practice Location 1

Location 12929 S Garnett RdTulsa, OK 74129-5101 · Phone (918) 665-1520 · Fax (918) 663-8435

Accepted Insurance

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

Anna Adele Peacock Pa 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 ID9335678259

PECOS Enrollment IDI20250122002277

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 74136 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

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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 8

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

SI YUAN KHOR MD

Internal Medicine (Nephrology)