PETERSON HEALTHCARE LLC
NPI 1609414168
Family Medicine in Blanchard, OK
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peterson Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Peterson Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, OKFrequently 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.
Is Peterson Healthcare LLC enrolled in Medicare?
Yes. Peterson Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peterson Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Peterson Healthcare LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, 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 7 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.
# Peterson Healthcare Llc · NPI 1609414168
Family Medicine organization in Blanchard, Oklahoma. Organization record, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1609414168 (Entity type: Organization)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Excel Family Medical & Urgent Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Braden Peterson, NURSE PRACTITIONER / OWNER
## Practice location
- **Address:** 217 N HARRISON AVE STE 109, Blanchard, OK 73010-6217
- **Phone:** (405) 888-8483 · **Fax:** (918) 803-4861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
- **Other identifiers:** Medicaid 200882870A (OK); Medicaid 200882870B (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609414168) · Data from the CMS NPPES public registry.