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PETERSON HEALTHCARE LLC
NPI 1609414168
Family Medicine in Blanchard, OK

Active since December 16, 2019CLIA 37D2179425 · Waiver
217 N HARRISON AVE STE 109, BLANCHARD, OK 73010(405) 888-8483(918) 803-4861 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2026, Jan 28, 2021, Dec 16, 2019 (3 updates tracked since 2019).

About Peterson Healthcare Llc NPPES

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

PETERSON HEALTHCARE LLC (NPI 1609414168), doing business as Excel Family Medical & Urgent Care, is a healthcare organization registered as a family medicine in Blanchard, Oklahoma and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through February 23, 2028, maintains a secondary practice location in Del City, and lists Braden Peterson, Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1609414168
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePETERSON HEALTHCARE LLC
Location Address217 N HARRISON AVE STE 109Blanchard, OK 73010-6217
Mailing Address217 N Harrison Ave Ste 109Blanchard, OK 73010-6217 · (405) 888-8483 · Fax (918) 803-4861
Phone(405) 888-8483
Fax(918) 803-4861
Organization SubpartNo
Authorized OfficialBraden PetersonNurse Practitioner / Owner · (405) 677-3378
Enumeration DateDecember 16, 2019
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1609414168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
217 N HARRISON AVE STE 109, Blanchard, OK 73010
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Other Names 1

Doing Business AsExcel Family Medical & Urgent Care

Secondary Practice Location 1

Location 13916 S Sunnylane RdDel City, OK 73115-3656 · Phone (405) 677-3378 · Fax (405) 930-3941

Other Identifiers 2

Medicaid200882870AOK
Medicaid200882870BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2179425

Peterson Healthcare, LLC · Blanchard, OK
Active · expires Feb 23, 2028
CLIA Number37D2179425
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorSteven Bander
Laboratory Phone(405) 888-8483
Laboratory LocationPeterson Healthcare, LLC217 N Harrison Ave, Ste 109, Blanchard, OK 73010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BRADEN PETERSON APRN-CNP
Nurse Practitioner (Family)
217 N HARRISON AVE STE 109
BLANCHARD, OK 73010
McClain County (405) 888-8483
DR. STEVEN G BANDER DO
Family Medicine
217 N HARRISON AVE STE 109
BLANCHARD, OK 73010
McClain County (405) 888-8483

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 Peterson Healthcare LLC's NPI number?

The NPI number for Peterson Healthcare LLC is 1609414168. It was assigned to this organization in the NPPES registry on December 16, 2019. The provider is doing business as Excel Family Medical & Urgent Care.

Where is Peterson Healthcare LLC located?

Peterson Healthcare LLC is located at 217 N Harrison Ave Ste 109, Blanchard, OK 73010. The listed phone number is (405) 888-8483.

What is Peterson Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Peterson Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2179425) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peterson Healthcare LLC 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 list Peterson Healthcare LLC 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 Peterson Healthcare LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.