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ASHTON DANIELLE PETERSON
NPI 1992263453
Nurse Practitioner - Family in Broken Arrow, OK

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
109 W COMMERCIAL ST, BROKEN ARROW, OK 74012(918) 887-8300(833) 941-2348 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2022, Mar 4, 2019 (2 updates tracked since 2019).

About Ashton Danielle Peterson NPPES

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

ASHTON DANIELLE PETERSON (NPI 1992263453) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (109498) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992263453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHTON DANIELLE PETERSON
Location Address109 W COMMERCIAL STBroken Arrow, OK 74012-4012
Mailing Address109 W Commercial StBroken Arrow, OK 74012-4012 · (918) 887-8300 · Fax (833) 941-2348
Phone(918) 887-8300
Fax(833) 941-2348
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 4, 2019
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1992263453 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 · 109498
109 W COMMERCIAL ST, Broken Arrow, OK 74012
Open in Google Maps ↗

Other Names 1

Former Name (1)Ashton Danielle Leibold

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 and accepts Medicare assignment

Ashton Danielle Peterson 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 ID1355683798
PECOS Enrollment IDI20190503001429
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 2

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.

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.
41 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services20 patients

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.

Other Providers at the Same Location NPPES 3

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

AMANDA SKVORTSOV APRN
Nurse Practitioner (Family)
109 W COMMERCIAL ST
BROKEN ARROW, OK 74012
Tulsa County (918) 887-8300
JONATHAN WILLSON
Nurse Practitioner
109 W COMMERCIAL ST
BROKEN ARROW, OK 74012
Tulsa County (918) 887-8300
PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC
Clinic/Center (Primary Care)
109 W COMMERCIAL ST
BROKEN ARROW, OK 74012
Tulsa County (918) 724-3952

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 Ashton Peterson's NPI number?

The NPI number for Ashton Peterson is 1992263453. It was assigned to this individual provider in the NPPES registry on March 4, 2019. The provider is also known as Ashton Danielle Leibold.

Where is Ashton Peterson located?

Ashton Peterson practices at 109 W Commercial St, Broken Arrow, OK 74012. The listed phone number is (918) 887-8300.

What is Ashton Peterson's specialty?

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

Is Ashton Peterson enrolled in Medicare?

Yes. Ashton Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashton Peterson 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 3 other insurers list Ashton Peterson 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 Ashton Peterson was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.