MR. BENEDICT JOHNSON MIDDLETON IV FNP-C
NPI 1700688371
Nurse Practitioner - Family in Broken Arrow, OK

Q: What is Benedict Middleton's NPI number?

The NPI number for Benedict Middleton is 1700688371. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Benedict Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 25, 2025PECOS EnrolledAccepts Medicare Assignment

1130 E LANSING ST, BROKEN ARROW, OK 74012(918) 258-9111 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Benedict Johnson Middleton Iv Fnp-c NPPES

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

MR. BENEDICT JOHNSON MIDDLETON IV FNP-C (NPI 1700688371) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (222426) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700688371

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BENEDICT JOHNSON MIDDLETON IVCredential: FNP-C

Location Address1130 E LANSING STBroken Arrow, OK 74012-2429

Mailing Address3576 S Winston AveTulsa, OK 74135-2045 · (918) 406-6829

Phone(918) 258-9111

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1700688371 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 · 222426

1130 E LANSING ST, Broken Arrow, OK 74012

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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.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

Mr. Benedict Johnson Middleton Iv Fnp-c 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 ID9739603267

PECOS Enrollment IDI20250407001617

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 74012 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.

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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.

NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC

Family Medicine