PETERSON URGENT CARE LLC
NPI 1346788544
Clinic/Center - Urgent Care in Kerrville, TX

Active since February 08, 2017CLIA 45D2149560 · Accreditation
130 W MAIN ST, KERRVILLE, TX 78028(830) 258-7669(830) 315-1344 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 11, 2023, Dec 15, 2021, Apr 5, 2021 and 2 more (5 updates tracked since 2017).

About Peterson Urgent Care Llc NPPES

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

PETERSON URGENT CARE LLC (NPI 1346788544) is a healthcare organization registered as an urgent care in Kerrville, Texas and active in the NPI registry since February 2017. The organization holds an CLIA Accreditation certificate valid through January 8, 2027 and lists Lisa M Medovich, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1346788544
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePETERSON URGENT CARE LLC
Location Address130 W MAIN STKerrville, TX 78028-5270
Mailing AddressPo Box 32522Belfast, ME 04915-0218
Fax(830) 315-1344
Organization SubpartYesParent: Peterson Medical Associates
Authorized OfficialLisa M MedovichChief Financial Officer · (830) 258-7632
Enumeration DateFebruary 8, 2017
Last NPPES UpdateMarch 11, 20235 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
✔ NPI 1346788544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
130 W MAIN ST, Kerrville, TX 78028

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Peterson Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1821236472
130 W MAIN ST
Kerrville, TX 78028
(830) 258-7669
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1093763906
130 W MAIN ST
Kerrville, TX 78028
(830) 258-7769
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639846702
130 W MAIN ST
Kerrville, TX 78028
(830) 258-7669
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053029454
130 W MAIN ST
Kerrville, TX 78028
(830) 258-7669
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770712325
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7090
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1497296040
823 JUNCTION HWY
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1851933451
1740 JUNCTION HWY
Kerrville, TX 78028
(830) 258-7669
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1063883999
4647 MEDICAL DR
San Antonio, TX 78229
(201) 358-8145
✔ PECOS✔ Accepts Medicare51 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2149560

Peterson Urgent Care · Kerrville, TX
Active · expires Jan 8, 2027
CLIA Number45D2149560
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorJarrod Wiggins
Laboratory Phone(830) 258-7123
Laboratory LocationPeterson Urgent Care130 W Main, Kerrville, TX 78028
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Peterson Urgent Care LLC's NPI number?

The NPI number for Peterson Urgent Care LLC is 1346788544. It was assigned to this organization in the NPPES registry on February 8, 2017.

Where is Peterson Urgent Care LLC located?

Peterson Urgent Care LLC is located at 130 W Main St, Kerrville, TX 78028. The listed phone number is (830) 258-7669.

What is Peterson Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Peterson Urgent Care LLC enrolled in Medicare?

Yes. Peterson Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Peterson Urgent Care LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Emergency Medicine (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peterson Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2149560) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peterson Urgent Care LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Peterson Urgent Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson Urgent Care LLC was last updated on March 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.