PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC
NPI 1851062517
Clinic/Center - Primary Care in Broken Arrow, OK
About Peterson Wellness Primary Care And Pediatrics, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC (NPI 1851062517) is a healthcare organization registered as a primary care in Broken Arrow, Oklahoma and active in the NPI registry since September 2021. The organization lists Ashton Danielle Peterson, Nurse Practitioner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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 37D2264309
Peterson Wellness Primary Care And Pediatric Care · Broken Arrow, OKOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wellness Primary Care And Pediatrics, PLLC's NPI number?
The NPI number for Peterson Wellness Primary Care And Pediatrics, PLLC is 1851062517. It was assigned to this organization in the NPPES registry on September 22, 2021.
Where is Peterson Wellness Primary Care And Pediatrics, PLLC located?
Peterson Wellness Primary Care And Pediatrics, PLLC is located at 109 W Commercial St, Broken Arrow, OK 74012. The listed phone number is (918) 724-3952.
What is Peterson Wellness Primary Care And Pediatrics, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
What insurance does Peterson Wellness Primary Care And Pediatrics, PLLC 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 Wellness Primary Care And Pediatrics, PLLC 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 Wellness Primary Care And Pediatrics, PLLC was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 Wellness Primary Care And Pediatrics, Pllc · NPI 1851062517
Primary Care organization in Broken Arrow, Oklahoma. Organization record, active in the CMS NPPES registry since September 22, 2021.
## Identity
- **NPI:** 1851062517 (Entity type: Organization)
- **Enumerated:** September 22, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ashton Peterson, NURSE PRACTITIONER, OWNER
## Practice location
- **Address:** 109 W COMMERCIAL ST, Broken Arrow, OK 74012-4012
- **Phone:** (918) 724-3952
## Record status
- **NPPES last updated:** September 22, 2021
- **Other identifiers:** Medicaid 200833910A (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851062517) · Data from the CMS NPPES public registry.