Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063238665 Individual Practitioner Female Practitioner

Amanda Skvortsov , APRN

Nurse Practitioner - Family • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Amanda Skvortsov, APRN is a registered healthcare professional specializing in Nurse Practitioner - Family in Broken Arrow, OK. Practice services are available at 109 W COMMERCIAL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 W Commercial St

Broken Arrow, OK 740124012

Telephone 9188878300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
69 Specialists

Practicing in Broken Arrow, OK (2739 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-02
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OK 221063

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jonathan Willson

Nurse Practitioner

NPI 1215826037
Ashton Peterson

Nurse Practitioner - Family

NPI 1992263453

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2024

NPI status registered as active in NPPES database

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Updated Practice Location December 02, 2024

Registered at 109 W COMMERCIAL ST, BROKEN ARROW, OK 740124012 (Tel: 9188878300)

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Updated Business Mailing Address December 02, 2024

Registered at 31193 E 64TH ST S, BROKEN ARROW, OK 740148529 (Tel: 9413505179)

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Provider Name / Credentials Updated December 02, 2024

Recorded as AMANDA SKVORTSOV, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Nurse Practitioner (License #221063 in OK)

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Initial NPI Registration & Enumeration November 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063238665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2024
Last Update: December 02, 2024
Sole Proprietor: No

Mailing Address

31193 E 64th St S

Broken Arrow, OK 740148529

Phone: 9413505179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.