Shari Pettit, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

214475 Issued in OK

Practice address

3104 S Elm PL Ste J-K
Broken Arrow, OK 74012-7949

Phone

(918) 882-0444

Fax

(918) 882-0555

NPI assigned

Aug 7, 2023

Last updated

Mar 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, OK2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kind Mind Mental Health Professional CorporationGroup PAC ID 6002254836, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kind Mind Mental Health Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Muskogee, OK
  • NPI 1033974951
  Medicare reassignment Care Compare group NPD
• Skye Horizon Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1770455008
  NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1790467942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140178",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740140002",
            "telephone_number": "918-882-0444",
            "fax_number": "918-882-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 S ELM PL STE J-K",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127949",
            "telephone_number": "918-882-0444",
            "fax_number": "918-882-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "SHARI",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "214475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avi Joy Thi Perryman
• Coy Peters, D.O.
• Lana Renae Peters, RDMS
• Peterson Wellness Primary Care and Pediatrics, PLLC
• Ashton Danielle Peterson
• Crae Pfannenstiel
• Carl Erwin Pfanstiel, M.D.
• Thanh Tuyen Vu Pham, PHARM.D
• Tuan Anh Pham, M.D.
• Alyssa Phares

• Psychiatric/Mental Health Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.