Active NPI
Anna Adele Peacock, PA
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5423
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5423 | OK | MD | Mental Health Counselor |
Interoperability endpoints
- 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.
-
dba Utica Park Urgent Care
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1417769829
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
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
- Pcfit LLC (Innovations Lactation and Breastfeeding Services)
- Pdi Health Ok LLC
- Pdi Health Ok LLC
- Peace Chiropractic Clinic, P.C.
- Robert P Peace, D.C.
- Peak Counseling LLC
- Peak Medical Oklahoma No. 5, Inc. (Woodland View Care and Rehabilitation Center)
- Daphnie Peak, APRN-CNP
- Ian James Peake
- Daniel Brian Pearce, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.