MR. PETER FAULK
NPI 1649965484
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since April 07, 2023PECOS EnrolledAccepts Medicare Assignment
4649 MOUNTAIN OAK ST, FORT WORTH, TX 76244(209) 287-4673 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Peter Faulk NPPES

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

MR. PETER FAULK (NPI 1649965484) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1114862) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649965484
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. PETER FAULK
Location Address4649 MOUNTAIN OAK STFort Worth, TX 76244-4397
Mailing Address4649 Mountain Oak StFort Worth, TX 76244-4397 · (209) 287-4673
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1649965484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1114862
4649 MOUNTAIN OAK ST, Fort Worth, TX 76244

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Peter Faulk 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 ID9234641085
PECOS Enrollment IDI20250626000339
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 Reassignment

Medicare enrollment records show Peter Faulk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Anesthetist, Certified Registered
4810 N DAVIS HWY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 111 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.

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Santa Rosa Medical Center

Acute Care Hospitals · Milton, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100124
Location6002 Berryhill RdMilton, FL 32570 · Santa Rosa County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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.

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 Peter Faulk's NPI number?

The NPI number for Peter Faulk is 1649965484. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Peter Faulk located?

Peter Faulk practices at 4649 Mountain Oak St, Fort Worth, TX 76244. The listed phone number is (209) 287-4673.

What is Peter Faulk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Peter Faulk enrolled in Medicare?

Yes. Peter Faulk 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.

Which organization bills Medicare for Peter Faulk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Faulk reassigns Medicare benefits to Gastroenterology Associates Of Pensacola PA (Pensacola, FL). The 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 Peter Faulk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Faulk accept?

Health plans from Ambetter Health, Ambetter of Alabama and Blue Cross and Blue Shield of Alabama list Peter Faulk 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 Peter Faulk affiliated with any hospitals?

According to CMS data, Peter Faulk is affiliated with Sacred Heart Hospital, Baptist Hospital, Santa Rosa Medical Center and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Peter Faulk was last updated on April 7, 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.