PAULA M PETERSON FNP
NPI 1568473601
Nurse Practitioner - Family in Fort Worth, TX

Active since August 11, 2006PECOS Enrolled
2919 MARKUM DR, FORT WORTH, TX 76117(817) 831-0321(817) 831-3211 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paula M Peterson Fnp NPPES

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

PAULA M PETERSON FNP (NPI 1568473601) is an individual family provider in Fort Worth, Texas, licensed in Texas (504482) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568473601
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA M PETERSONCredential: FNP
Location Address2919 MARKUM DRFort Worth, TX 76117-4004
Mailing Address2919 Markum DrFort Worth, TX 76117-4004 · (817) 831-0321 · Fax (817) 831-3211
Fax(817) 831-3211
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1568473601 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 · 504482
2919 MARKUM DR, Fort Worth, TX 76117

Other Identifiers 6

OtherTXB110627TX · Group Medicare Pin
OtherF057TX · Group Medicare
Other092104103TX · Group Epsdt
Other1578514535TX · Group Npi Number
Other092104102TX · Group Medicaid/tpi
Other45D0703080TX · Group Clia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula M Peterson Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paula Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2919 MARKUM DRIVE
Fort Worth, TX 76117
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Obstetrics & Gynecology
4300 CITY POINT DRIVE, SUITE 202
North Richland Hills, TX 76180
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group

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 76117 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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

Pharmacy (Community/Retail Pharmacy)
2919 MARKUM DR
HALTOM CITY, TX 76117
Family Medicine
2919 MARKUM DR
FORT WORTH, TX 76117
Nurse Practitioner (Family)
2919 MARKUM DR
FORT WORTH, TX 76117

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 Paula Peterson's NPI number?

The NPI number for Paula Peterson is 1568473601. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Paula Peterson located?

Paula Peterson practices at 2919 Markum Dr, Fort Worth, TX 76117. The listed phone number is (817) 831-0321.

What is Paula Peterson's specialty?

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

Is Paula Peterson enrolled in Medicare?

Yes. Paula Peterson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paula Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Peterson reassigns Medicare benefits to 2 organizations: T & R Clinic A Professional Association (Fort Worth, TX) and Texas Health Care, P.L.L.C. (North Richland Hills, TX). Each 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 Paula Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paula Peterson was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.