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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: July 26, 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
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Other Names 1

Former Name (1)Stephanie Boudreaux Anp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Stephanie Peterson was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.