PEYTON ELISE PAUZE FISHBACK FNP-C
NPI 1104757483
Nurse Practitioner - Family in Katy, TX

Q: What is Peyton Pauze Fishback's NPI number?

The NPI number for Peyton Pauze Fishback is 1104757483. It was assigned to this individual provider in the NPPES registry on May 26, 2026. The provider is also known as Peyton Pauze Fnp-C.

Q: What is Peyton Pauze Fishback's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 26, 2026PECOS EnrolledAccepts Medicare Assignment

24285 KATY FWY STE 300, KATY, TX 77494(346) 387-7171 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, May 26, 2026 (2 updates tracked since 2026).

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About Peyton Elise Pauze Fishback Fnp-c NPPES

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

PEYTON ELISE PAUZE FISHBACK FNP-C (NPI 1104757483) is an individual family provider in Katy, Texas, licensed in Texas (1093883) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2026).

NPPES Registry Identity

NPI1104757483

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePEYTON ELISE PAUZE FISHBACKCredential: FNP-C

Location Address24285 KATY FWY STE 300Katy, TX 77494-1128

Mailing Address22523 Vista Valley DrKaty, TX 77450-4422 · (713) 569-0199

Phone(346) 387-7171

Sole ProprietorYes

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2026

Enumeration DateMay 26, 2026

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1104757483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1093883

24285 KATY FWY STE 300, Katy, TX 77494

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Other Names 1

Former Name (1)Peyton Pauze Fnp-c

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peyton Elise Pauze Fishback Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294291423

PECOS Enrollment IDI20260728005734

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 Peyton Pauze Fishback reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Collaborative Geriatrics Inc

0.1 mi

Gerontology

24285 KATY FWY STE 300
Katy, TX 77494

Reassigned Medicare billing, Texas enrollment
78 clinicians in this Medicare group

NPI 1811088628 (346) 387-7171

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 77494 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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