SHARI LYNETTE PETERSEN APRN, FNP-BC
NPI 1679340418
Nurse Practitioner - Family in Cedar Park, TX

Active since December 11, 2023PECOS Enrolled
2500 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613(512) 345-8970 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Dec 11, 2023 (2 updates tracked since 2023).

About Shari Lynette Petersen Aprn, Fnp-bc NPPES

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

SHARI LYNETTE PETERSEN APRN, FNP-BC (NPI 1679340418) is an individual family provider in Cedar Park, Texas, licensed in Texas (1143497) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679340418
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHARI LYNETTE PETERSENCredential: APRN, FNP-BC
Location Address2500 S LAKELINE BLVD STE 100Cedar Park, TX 78613-2968
Mailing Address8401 Evelina TrlAustin, TX 78737-8546 · (737) 202-6348
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 11, 2023
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1679340418 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 · 1143497
2500 S LAKELINE BLVD STE 100, Cedar Park, TX 78613

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shari Lynette Petersen Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789164054
PECOS Enrollment IDI20260615002414
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 Shari Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2500 S LAKELINE BLVD, SUITE 100
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
1,066 mi
Family
230 S MAIN ST
Bountiful, UT 84010
  • Reassigned Medicare billing, Utah enrollment
  • 7 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 78613 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 16

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

Student in an Organized Health Care Education/Training Program
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Acupuncturist
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Nurse Practitioner (Family)
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Family Medicine
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Nurse Practitioner (Family)
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Nurse Practitioner (Family)
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Nurse Practitioner (Family)
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613
Nutritionist
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613

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 Shari Petersen's NPI number?

The NPI number for Shari Petersen is 1679340418. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Shari Petersen located?

Shari Petersen practices at 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613. The listed phone number is (512) 345-8970.

What is Shari Petersen's specialty?

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

Is Shari Petersen enrolled in Medicare?

Yes. Shari Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shari Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shari Petersen reassigns Medicare benefits to 2 organizations: Wiseman Family Practice PLLC (Cedar Park, TX) and Valdar LLC (Bountiful, UT). 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 Shari Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shari Petersen accept?

Health plans from Blue Cross and Blue Shield of Texas list Shari 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.

When was this NPI record last updated?

The NPPES record for Shari Petersen was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.