Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashton Danielle Peterson

Individual provider Family Nurse Practitioner · NPI 1992263453

Ashton Danielle Peterson is a Nurse Practitioner in Broken Arrow, Oklahoma. Qualified in 2018, 8 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2019
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Practice location Address checks out

109 W Commercial St
Broken Arrow, OK 74012-4012
Phone: (918) 887-8300
Fax: (833) 941-2348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 109498 (OK)

Record details

NPI number1992263453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2019
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address109 W Commercial St, Broken Arrow, OK 74012-4012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Broken Arrow