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MRS. HANNAH MARIE PEACOCK PA-C
NPI 1770106619
Physician Assistant in Moore, OK

Active since May 27, 2020PECOS Enrolled
2212 N BROADWAY ST, MOORE, OK 73160(405) 285-7222(405) 285-7227 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2026, Dec 5, 2025, Mar 7, 2023 and 2 more (5 updates tracked since 2020).

About Mrs. Hannah Marie Peacock Pa-c NPPES

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

MRS. HANNAH MARIE PEACOCK PA-C (NPI 1770106619) is an individual physician assistant in Moore, Oklahoma, licensed in Oklahoma (3211) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770106619
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. HANNAH MARIE PEACOCKCredential: PA-C
Location Address2212 N BROADWAY STMoore, OK 73160-4303
Mailing Address2212 N Broadway StMoore, OK 73160-4303 · (405) 285-7222 · Fax (405) 285-7227
Phone(405) 285-7222
Fax(405) 285-7227
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1770106619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 3211
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 3211 (OK)
2212 N BROADWAY ST, Moore, OK 73160
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Hannah Marie Holasek Pa-c

Secondary Practice Locations 4

Location 11421 NW 122ND STOKLAHOMA CITY, OK 73114-8028 · Phone (405) 286-2888 · Fax (405) 286-1695
Location 21111 N Lee Ave Ste 305Oklahoma City, OK 73103-2620 · Phone (405) 272-4978 · Fax (405) 772-4435
Location 313301 N Meridian Ave Ste 201Oklahoma City, OK 73120-8381 · Phone (405) 803-8020 · Fax (405) 437-2332
Location 44101 NW 122nd StOklahoma City, OK 73120-8800 · Phone (405) 803-8020 · Fax (405) 437-2332

Other Identifiers 2

Other14670040OK · Caqh
Medicaid200913150AOK

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Hannah Marie Peacock Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082036462
PECOS Enrollment IDI20200615000088
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73160 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 4

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

LISA MICHELLE MCCONNELL APRN-CNP, FNP-C
Nurse Practitioner (Family)
2212 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 285-7222
QUICK URGENT CARE LLC
Clinic/Center (Urgent Care)
2212 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 285-7222
IFTIKHAR A SANDHU PA-C
Physician Assistant
2212 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 285-7222
SIMRAN BHARAT HARI PA-C
Physician Assistant
2212 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 285-7222

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 Hannah Peacock's NPI number?

The NPI number for Hannah Peacock is 1770106619. It was assigned to this individual provider in the NPPES registry on May 27, 2020. The provider is also known as Miss Hannah Marie Holasek Pa-C.

Where is Hannah Peacock located?

Hannah Peacock practices at 2212 N Broadway St, Moore, OK 73160. The listed phone number is (405) 285-7222.

What is Hannah Peacock's specialty?

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

Is Hannah Peacock enrolled in Medicare?

Yes. Hannah Peacock is registered in the Medicare PECOS enrollment system.

What insurance does Hannah Peacock 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 and 4 other insurers list Hannah Peacock 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 Hannah Peacock was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.