KELLY PETERSON APRN
NPI 1639787872
Nurse Practitioner in Fort Sam Houston, TX

Q: What is Kelly Peterson's NPI number?

The NPI number for Kelly Peterson is 1639787872. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is Kelly Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Peterson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since July 14, 2020PECOS EnrolledAccepts Medicare Assignment

3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 916-4863 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Sep 24, 2020, Jul 14, 2020 (3 updates tracked since 2020).

On this page

About Kelly Peterson Aprn NPPES

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

KELLY PETERSON APRN (NPI 1639787872) is an individual nurse practitioner in Fort Sam Houston, Texas, licensed in Texas (1130715) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639787872

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY PETERSONCredential: APRN

Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504

Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 539-9582

Phone(210) 916-4863

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 14, 2020

Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1639787872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1130715

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

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Other Identifiers 1

Other1124390253Dod Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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 Peterson Aprn 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 ID547700965

PECOS Enrollment IDI20240911003256

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.

Hospital Affiliations CMS Care Compare

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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.

JANET JONES SIMS CRNA

Nurse Anesthetist, Certified Registered

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (253) 223-6272

JAMES KENNEDY HARDIN PA-C

Physician Assistant

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234

Bexar County (210) 295-4996

DR. DANIEL VICTOR-CALVIN HAMMOND M.D.

Pediatrics (Pediatric Endocrinology)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-3020

JESSICA FULLER LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-1859

DR. JASON ROBERT HALL M.D.

Neurological Surgery

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

MRS. KATHRYN ELAINE HELLAND LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

DR. HALWARD BLEGEN IV DO

Ophthalmology

3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234

Bexar County (210) 220-7419

KOLE HOLLAND SPAULDING M.D.

Emergency Medicine (Emergency Medical Services)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

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 Peterson's NPI number?

The NPI number for Kelly Peterson is 1639787872. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Kelly Peterson located?

Kelly Peterson practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-4863.

What is Kelly Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Peterson enrolled in Medicare?

Yes. Kelly Peterson 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 Peterson accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Kelly Peterson 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 Peterson affiliated with any hospitals?

According to CMS data, Kelly Peterson is affiliated with Christus Santa Rosa Hospital-San Marcos.

When was this NPI record last updated?

The NPPES record for Kelly Peterson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.