Peterson Wellness Primary Care and Pediatrics, PLLC
NPI 1851062517 · Primary Care Clinic/Center · Broken Arrow, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peterson Wellness Primary Care and Pediatrics, PLLC is a Primary Care Clinic/Center organization in Broken Arrow, OK (NPI 1851062517).
Provider details
- NPI number
- 1851062517
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashton Peterson, Nurse Practitioner, Owner(918) 724-3952
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-22
- Last updated
- 2021-09-22
- Certified
- 2021-09-16
Frequently asked questions
- What is Peterson Wellness Primary Care and Pediatrics, PLLC's NPI number?
- Peterson Wellness Primary Care and Pediatrics, PLLC's National Provider Identifier (NPI) is 1851062517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Wellness Primary Care and Pediatrics, PLLC?
- Peterson Wellness Primary Care and Pediatrics, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Peterson Wellness Primary Care and Pediatrics, PLLC located?
- Peterson Wellness Primary Care and Pediatrics, PLLC's practice location on file with NPPES is 109 W Commercial St, Broken Arrow, OK 74012-4012.
- What is Peterson Wellness Primary Care and Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Peterson Wellness Primary Care and Pediatrics, PLLC is (918) 724-3952.
- Does Peterson Wellness Primary Care and Pediatrics, PLLC accept Medicare?
- Peterson Wellness Primary Care and Pediatrics, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peterson Wellness Primary Care and Pediatrics, PLLC?
- The authorized official listed on Peterson Wellness Primary Care and Pediatrics, PLLC's NPPES record is Ashton Peterson, Nurse Practitioner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Wellness Primary Care and Pediatrics, PLLC's NPI active?
- Yes — Peterson Wellness Primary Care and Pediatrics, PLLC's NPI (1851062517) is active in the NPPES registry as of the last update on 2021-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.