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Andrea Peck, APRN-CNP

NPI 1497548549ActiveIndividual· Nurse Practitioner· Sallisaw, OK

Nurse Practitioner (APRN-CNP) with Williams Medical Group Practice LLC, practicing in Sallisaw, Oklahoma. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1497548549
StatusActive
Entity typeIndividual
CredentialAPRN-CNP
Sole proprietorNo
NPI issuedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certified by providerMay 22, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X222994OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (OK)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Sallisaw

All nurse practitioners in Oklahoma