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ANDREA PECK APRN-CNP
NPI 1497548549
Nurse Practitioner in Sallisaw, OK

Active since May 22, 2025PECOS EnrolledAccepts Medicare Assignment
701 W RUTH AVE, SALLISAW, OK 74955(918) 235-6622 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Peck Aprn-cnp NPPES

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

ANDREA PECK APRN-CNP (NPI 1497548549) is an individual nurse practitioner in Sallisaw, Oklahoma, licensed in Oklahoma (222994) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497548549
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA PECKCredential: APRN-CNP
Location Address701 W RUTH AVESallisaw, OK 74955-7273
Mailing Address701 W Ruth AveSallisaw, OK 74955-7273 · (918) 235-6622
Phone(918) 235-6622
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1497548549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 222994
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
701 W RUTH AVE, Sallisaw, OK 74955
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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, UnitedHealthcare.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

Andrea Peck Aprn-cnp 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 ID7416468186
PECOS Enrollment IDI20250618003594
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 74955 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 3

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

WILLIAMS MEDICAL GROUP PRACTICE, LLC
Clinic/Center (Rural Health)
701 W RUTH AVE
SALLISAW, OK 74955
Sequoyah County (405) 445-1210
MICHAELA YOUNG
Clinic/Center (Federally Qualified Health Center (FQHC))
701 W RUTH AVE
SALLISAW, OK 74955
Sequoyah County (918) 775-5544
ROSARIO DANUSHKA DOMINIC
Technician (Personal Care Attendant)
701 W RUTH AVE
SALLISAW, OK 74955
Sequoyah County (918) 775-5544

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 Andrea Peck's NPI number?

The NPI number for Andrea Peck is 1497548549. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Andrea Peck located?

Andrea Peck practices at 701 W Ruth Ave, Sallisaw, OK 74955. The listed phone number is (918) 235-6622.

What is Andrea Peck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Peck enrolled in Medicare?

Yes. Andrea Peck 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 Andrea Peck accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Andrea Peck 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 Andrea Peck was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.