JAIMIE PETER (APRN) – Family Nurse Practitioner, NPI 1790489847

JAIMIE PETER (APRN) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 202094 (OK). The NPI Number for JAIMIE PETER (APRN) is 1790489847

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JAIMIE PETER (APRN)
NPI
1790489847
Phone
(918) 708-1816
Address
4636 S HARVARD AVE STE 1024636S
Enumeration Date
30 March 2023
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053477390
Graduation Year
2022 (4 years ago)
PAC ID
0345607636
Group Practice PAC ID
5799025268
Professional Enrollment ID
I20230531003357
Address ID
OK731421919OK6001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JAIMIE PETER (APRN)

  • 4636 S HARVARD AVE STE 1024636S

    TULSA, OK 741352908

    Phone: (918) 708-1816

    Mailing address matches the actual address.

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 $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Averitas Pharma Inc. ($134).

Total Amount

$134

General + Research + Ownership

Payments

3

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Averitas Pharma Inc.$134
View all Open Payments →|Open Payments Risk Radar →

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: 2023-05-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230531003357INurse PractitionerOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1955Injection, levocarnitine, per 1 gm2,605123$0
96372Injection of drug or substance under skin or into muscle2,593124$0
J3415Injection, pyridoxine hcl, 100 mg2,589123$0
J3411Injection, thiamine hcl, 100 mg2,585123$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes593119$0
View full utilization report →

Insurance plans in this area (ZIP 74135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799025268View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JAIMIE PETER (APRN)?
Save NPI 1790489847 if you need a stable reference for JAIMIE PETER (APRN).
Does this profile mean JAIMIE PETER (APRN) is currently active?
Yes — JAIMIE PETER (APRN) appears active in the national provider directory.
Can you summarize JAIMIE PETER (APRN)'s specialty in plain language?
Clinically, the directory lists JAIMIE PETER (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JAIMIE PETER (APRN)'s primary listing?
We display Tulsa, Oklahoma because that is what the record indicates for JAIMIE PETER (APRN).
How can I contact JAIMIE PETER (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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