BRADEN PETERSON (APRN-CNP) – Family Nurse Practitioner, NPI 1245762020
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for BRADEN PETERSON (APRN-CNP)
217 N HARRISON AVE STE 109
BLANCHARD, OK 730106217
Phone: (405) 888-8483
Fax: (918) 803-4861
Type: Mailing
3609, Carnoustie Drive, Norman, Cleveland County, Oklahoma, 73072, United States
NORMAN, OK 730721947
Phone:
Type: Mailing
3916 S Sunnylane Rd
Del City, OK 731153656
Phone: (405) 677-3378
Fax: (405) 930-3941
Type: Location
6814, Northwest 23rd Street, Bethany, Oklahoma County, Oklahoma, 73008, United States
BETHANY, OK 730085217
Phone: (405) 603-1175
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Boston Scientific Corporation ($89).
Total Amount
$116
General + Research + Ownership
Payments
3
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $89 |
| Edwards Lifesciences Corporation | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170510002622 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 50 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 23 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 22 | 14 | $0 |
Insurance plans in this area (ZIP 73010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Nurse Practitioner | OK |
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