Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Benedict Johnson Middleton IV, FNP-C

Individual provider Family Nurse Practitioner · NPI 1700688371

Mr. Benedict Johnson Middleton IV, FNP-C is a Nurse Practitioner in Broken Arrow, Oklahoma. Qualified in 2024, 2 years ago. Practices with Northeast Oklahoma Physician Network Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1130 E Lansing St
Broken Arrow, OK 74012-2429
Phone: (918) 258-9111
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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 222426 (OK)

Record details

NPI number1700688371
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northeast Oklahoma Physician Network Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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