Active NPI
Kendra Jo Peters, APRN-CNP
- Acute Care Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 91043
- Practice address
- 3300 NW Expressway
Oklahoma City, OK 73112-4418 - Phone
- (405) 949-3349
- NPI assigned
- May 17, 2019
- Last updated
- Dec 7, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 91043 | OK | |
| Family Nurse Practitioner | 363LF0000X | 91043 | OK | |
| Acute Care Nurse Practitioner | 363LA2100X | 91043 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway
Oklahoma City, OK 73112-4418
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
429 W Elm
Hobart, OK 73651-1615
Phone (580) 726-1900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91043 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Kiowa County Hospital Authority | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Integris Cardiovascular Physicians LLC | Current | Accepting new patients | |
| Kiowa County Hospital Authority | Past | Accepting new patients |
Locations
429 W Elm St
Hobart, OK 73651
Phone (580) 726-1900
825 NE 10th St
#4G
Oklahoma City, OK 73104
Phone (405) 271-5789
3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
3433 NW 56th St
Ste 660
Oklahoma City, OK 73112
Phone (405) 947-3341
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
Interoperability endpoints
- kpeters215581@direct.integrisok.com
Organizations & group practices 6
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 Elkview General Hospital
- Rural Acute Care Hospital
- Hobart, OK
- NPI 1699758086
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
dba Elkview Physician Group
- Rural Health Clinic/Center
- Hobart, OK
- NPI 1255823282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elkview General Hospital
- Rural Acute Care Hospital
- Hobart, OK
- NPI 1699758086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1699331371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE STE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-949-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KENDRA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "OK",
"license": "91043",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "91043",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "91043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.