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STEPHANIE PETERSON
NPI 1073753240
Nurse Practitioner - Adult Health in Houston, TX

Active since March 02, 2009PECOS Enrolled
716 WAVERLY ST UNIT B, HOUSTON, TX 77007(832) 533-2354 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE PETERSON (NPI 1073753240) is an individual adult health provider in Houston, Texas, licensed in Texas (667893) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073753240
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHANIE PETERSON
Location Address716 WAVERLY ST UNIT BHouston, TX 77007-1407
Mailing Address716 Waverly Street Unit BHouston, TX 77007 · (832) 533-2354
Phone(832) 533-2354
Sole ProprietorNo
Enumeration DateMarch 2, 2009
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1073753240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 667893
716 WAVERLY ST UNIT B, Houston, TX 77007
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Boudreaux Anp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catapult Health PA
234 mi
Clinic/Center
5294 BELT LINE RD STE 200
Dallas, TX 75254
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
NPI 1154963841 (214) 313-9698

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Peterson's NPI number?

The NPI number for Stephanie Peterson is 1073753240. It was assigned to this individual provider in the NPPES registry on March 2, 2009. The provider is also known as Stephanie Boudreaux Anp.

Where is Stephanie Peterson located?

Stephanie Peterson practices at 716 Waverly St Unit B, Houston, TX 77007. The listed phone number is (832) 533-2354.

What is Stephanie Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Peterson enrolled in Medicare?

Yes. Stephanie Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Peterson reassigns Medicare benefits to Catapult Health PA (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Peterson was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.