Robert E Peevy, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1143 Issued in OK

Practice address

2029 Gordon Cooper Dr
Shawnee, OK 74801-9005

Phone

(405) 878-5850

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.peevy@4108.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care, PA

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1871770784

  OK

  Medicare reassignment NPD
• Absentee Shawnee Tribal Health Authority, Inc.

  • Multi-Specialty Clinic/Center
  • Shawnee, OK
  • NPI 1942253521
  Medicare reassignment
• Cah Acquisition Company 16 LLC

  • Rural Health Clinic/Center
  • Stigler, OK
  • NPI 1811376619
  NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• McBride Clinic Inc

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1053319889

  Physician Assistant

  NPD (past)
• Norstar Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Norman, OK
  • NPI 1093709537
  NPD (past)
• Parkview Hospital

  • General Acute Care Hospital
  • El Reno, OK
  • NPI 1821087065
  NPD (past)
• Robert G. Spencer MD PLLC

  • Family Medicine Physician
  • Watonga, OK
  • NPI 1629161823
  NPD (past)
• Seminole Hma, LLC

  • General Acute Care Hospital
  • Seminole, OK
  • NPI 1891980124
  NPD (past)
• Watonga Hospital Trust Authority

  • Ambulance
  • Watonga, OK
  • NPI 1528215886
  NPD (past)
• Watonga Hospital Trust Authority

  • General Acute Care Hospital
  • Watonga, OK
  • NPI 1578555777
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1114925245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300",
            "fax_number": "405-701-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019005",
            "telephone_number": "405-878-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15702 E State Highway 9",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730269001",
            "country_code": "US",
            "telephone_number": "405-447-0477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15951 Little Axe Dr",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730269088",
            "country_code": "US",
            "telephone_number": "405-447-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEVY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00731972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Payne, LPC
• Jessica N Peacock
• Patricia Peak
• Rachelle Alyse Pearce
• Katie Diane Peeler, DPT
• Lon Preston Pennington, D.PH.
• Pamela York Pensoneau
• Anna Marie Perdue, M.ED.
• Michelle K Peters
• Kaylin A Peterson, SLP

• Physician Assistant in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.