Individual provider Active NPI

Anna Adele Peacock, PA

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1427776509
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5423 Issued in OK
Practice address
6465 S Yale Ave Ste 804
Tulsa, OK 74136-7810
Phone
(918) 502-3550
Fax
(918) 502-3555
NPI assigned
Aug 16, 2022
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5423 OK Primary

Addresses

Primary practice location

6465 S Yale Ave Ste 804
Tulsa, OK 74136-7810

Mailing address

2219 E 11TH St Unit 306
Tulsa, OK 74104-3645
Phone (405) 593-5162

Other practice location 1

2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250122002277 OK Practitioner - Physician Assistant 9335678259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Emergency Medical Center IncGroup PAC ID 3375442692, 23 clinicians
Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians

Practice addresses (Care Compare)

10221 E 81St St
Tulsa, OK 74133-4559
Phone (918) 252-9300

1217 E 48TH St
Suite 100
Tulsa, OK 74105-4701
Phone (918) 528-4897

13616 E 103Rd St N
Suite a
Owasso, OK 74055-4592
Phone (918) 274-8555

1623 S Utica Ave
Tulsa, OK 74104-4909
Phone (918) 392-5100

2140 S Yale Ave
Tulsa, OK 74114-2122
Phone (918) 712-9342

2254 W Rogers Blvd
Skiatook, OK 74070-3909
Phone (918) 895-9353

2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520

401 W Blue Starr Dr
Claremore, OK 74017-4006
Phone (918) 343-6000

9716 Riverside Pkwy
Suite 100
Tulsa, OK 74137-7450
Phone (918) 528-4897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5423OKMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: apeacock347154@ahs.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1427776509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 E 11TH ST UNIT 306",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741043645",
            "telephone_number": "405-593-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 804",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367810",
            "telephone_number": "918-502-3550",
            "fax_number": "918-502-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 S Garnett Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741295101",
            "country_code": "US",
            "telephone_number": "918-665-1520",
            "fax_number": "918-663-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "ANNA",
        "middle_name": "ADELE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.