1. Home
  2. Directory
  3. Texas
  4. Lewisville
  5. Physician Assistant
  6. NPI Profile

CARLOTTA PETERSEN PA
NPI 1417288911
Physician Assistant in Lewisville, TX

Active since January 22, 2010PECOS EnrolledAccepts Medicare Assignment
500 W MAIN ST STE 200, LEWISVILLE, TX 75057(877) 314-8990 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2022, Apr 9, 2021, Mar 29, 2021 (3 updates tracked since 2021).

About Carlotta Petersen Pa NPPES

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

CARLOTTA PETERSEN PA (NPI 1417288911) is an individual physician assistant in Lewisville, Texas, licensed in Texas (PA00598) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Medical City Lewisville, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1417288911
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLOTTA PETERSENCredential: PA
Location Address500 W MAIN ST STE 200Lewisville, TX 75057-3639
Mailing Address6750 N Macarthur Blvd Ste 270Irving, TX 75039-2469 · (877) 314-8990 · Fax (844) 364-3321
Phone(877) 314-8990
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 22, 2010
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1417288911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00598
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA00598 (TX)
500 W MAIN ST STE 200, Lewisville, TX 75057
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlotta Petersen Pa 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 ID6507007077
PECOS Enrollment IDI20210430000161
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services27 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
29 services22 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
24 services23 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75057 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 2

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

CARRIE LEA HALL CRNFA
Registered Nurse (Registered Nurse First Assistant)
500 W MAIN ST STE 200
LEWISVILLE, TX 75057
Denton County (972) 420-1776
JOHN THOMAS RIEHL M.D.
Orthopaedic Surgery
500 W MAIN ST STE 200
LEWISVILLE, TX 75057
Denton County (877) 314-8990

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 Carlotta Petersen's NPI number?

The NPI number for Carlotta Petersen is 1417288911. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Carlotta Petersen located?

Carlotta Petersen practices at 500 W Main St Ste 200, Lewisville, TX 75057. The listed phone number is (877) 314-8990.

What is Carlotta Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carlotta Petersen enrolled in Medicare?

Yes. Carlotta Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carlotta Petersen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Carlotta Petersen 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.

Is Carlotta Petersen affiliated with any hospitals?

According to CMS data, Carlotta Petersen is affiliated with Medical City Lewisville and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Carlotta Petersen was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.