KELLY LEE PETERS FNP
NPI 1417430935
Nurse Practitioner - Family in Greenville, TX

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
4311 WESLEY ST, GREENVILLE, TX 75401(903) 455-5958 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2020, Sep 11, 2018 (2 updates tracked since 2018).

About Kelly Lee Peters Fnp NPPES

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

KELLY LEE PETERS FNP (NPI 1417430935) is an individual family provider in Greenville, Texas, licensed in Texas (F09180309) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains a secondary practice location in Caddo Mills.

NPPES Registry Identity

NPI1417430935
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY LEE PETERSCredential: FNP
Location Address4311 WESLEY STGreenville, TX 75401-5639
Mailing Address4311 Wesley StGreenville, TX 75401-5639
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMarch 13, 20202 updates tracked since enumeration
NPPES CertifiedMarch 13, 2020
NPI 1417430935 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 · F09180309
4311 WESLEY ST, Greenville, TX 75401

Secondary Practice Location 1

Location 14910 County Road 2216Caddo Mills, TX 75135-8228 · Phone (214) 236-6338

Accepted 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

Kelly Lee Peters Fnp 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 ID8123372380
PECOS Enrollment IDI20181107001461
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

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75401 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$45.38 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$10.23 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims12 services$49.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$60.11 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers17 claims17 services$30.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Physician Assistant (Medical)
4311 WESLEY ST
GREENVILLE, TX 75401
Nurse Practitioner (Pediatrics)
4311 WESLEY ST
GREENVILLE, TX 75401
Nurse Practitioner (Neonatal, Critical Care)
4311 WESLEY ST
GREENVILLE, TX 75401
Pediatrics
4311 WESLEY ST
GREENVILLE, TX 75401
Nurse Practitioner (Women's Health)
4311 WESLEY ST
GREENVILLE, TX 75401
Nurse Practitioner (Family)
4311 WESLEY ST
GREENVILLE, TX 75401
Emergency Medicine
4311 WESLEY ST
GREENVILLE, TX 75401
Family Medicine
4311 WESLEY ST
GREENVILLE, TX 75401

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 Kelly Peters's NPI number?

The NPI number for Kelly Peters is 1417430935. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Kelly Peters located?

Kelly Peters practices at 4311 Wesley St, Greenville, TX 75401. The listed phone number is (903) 455-5958.

What is Kelly Peters's specialty?

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

Is Kelly Peters enrolled in Medicare?

Yes. Kelly Peters 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 Kelly Peters 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 2 other insurers list Kelly Peters 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 Kelly Peters affiliated with any hospitals?

According to CMS data, Kelly Peters is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Peters was last updated on March 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.