Hannah Marie Peacock, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3211 Issued in OK

Practice address

2212 N Broadway St
Moore, OK 73160-4303

Phone

(405) 285-7222

Fax

(405) 285-7227

NPI assigned

May 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Hannah Marie Holasek Former name

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians

Randr Dermatology Services PLLCGroup PAC ID 1658798103, 8 clinicians

Quick Urgent Care LLCGroup PAC ID 4486937505, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• R&R Dermatology Services PLLC

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1831714658
  Medicare reassignment Care Compare group NPD
• Metro Healthcare Services LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1194558304
  Medicare reassignment Care Compare group
• Quick Urgent Care LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1467995589
  Medicare reassignment Care Compare group
• Crescent Infectious Diseases PLLC

  • Infectious Disease Physician
  • Oklahoma City, OK
  • NPI 1538501028
  Medicare reassignment
• Superior Family Care, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1720846835
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1770106619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604303",
            "telephone_number": "405-285-7222",
            "fax_number": "405-285-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604303",
            "telephone_number": "405-285-7222",
            "fax_number": "405-285-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 NW 122ND ST",
            "address_purpose": "LOCATION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148028",
            "country_code": "US",
            "telephone_number": "405-286-2888",
            "fax_number": "405-286-1695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 N Lee Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032620",
            "country_code": "US",
            "telephone_number": "405-272-4978",
            "fax_number": "405-772-4435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13301 N Meridian Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208381",
            "country_code": "US",
            "telephone_number": "405-803-8020",
            "fax_number": "405-437-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 NW 122nd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208800",
            "country_code": "US",
            "telephone_number": "405-803-8020",
            "fax_number": "405-437-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3211",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "3211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14670040",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200913150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HOLASEK",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ella Patterson
• Ryann Lynn Paxson, APRN
• Morgan Dawn Payne, OTR/L
• Tyonni Payne
• Lana Rae Peace, MS LPC CANDIDATE
• Mark Peck, BHRS
• Amy Elizabeth Pedlow, PA-C
• Talynn Peles
• Ashley Michele Pelsor
• Evaristus Penda

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.