1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Nurse Practitioner
  6. NPI Profile

DESIREE ELISABETH PETERSON CPNP-AC
NPI 1730844960
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since November 02, 2021PECOS Enrolled
1401 W PULASKI ST, FORT WORTH, TX 76104(682) 885-8012(682) 885-8014 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 6, 2022, Nov 2, 2021 (2 updates tracked since 2021).

About Desiree Elisabeth Peterson Cpnp-ac NPPES

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

DESIREE ELISABETH PETERSON CPNP-AC (NPI 1730844960) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1056679) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730844960
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDESIREE ELISABETH PETERSONCredential: CPNP-AC
Location Address1401 W PULASKI STFort Worth, TX 76104-2717
Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-4446 · Fax (817) 810-1396
Phone(682) 885-8012
Fax(682) 885-8014
Sole ProprietorNo
Enumeration DateNovember 2, 2021
Last NPPES UpdateJune 17, 20222 updates tracked since enumeration
NPPES CertifiedJune 17, 2022
✔ NPI 1730844960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1056679
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 1056679 (TX)
1401 W PULASKI ST, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Other Name (5)Desiree Elisabeth Barnard-peterson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Harbor Health, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Elisabeth Peterson Cpnp-ac 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 Reassignment

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

Cook Children's Physician Network
0.3 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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 76104 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 20

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

HINA AZIZ REHMAN MD
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
SUSAN AKBERZIE CPNP
Nurse Practitioner (Primary Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
VALENTINA CELANT WARNE PA-C
Physician Assistant
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
KELSEY HALE APRN
Nurse Practitioner (Family)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
SONYA F LOFTIS-DAYAL MD
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
REBECCA JEANNE SULLIVAN CPNP
Nurse Practitioner (Primary Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
COOK CHILDREN'S MEDICAL CENTER
Clinic/Center (Urgent Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012
RACHEL NICOLE LARA FNP
Nurse Practitioner (Family)
1401 W PULASKI ST
FORT WORTH, TX 76104
Tarrant County (682) 885-8012

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 Desiree Peterson's NPI number?

The NPI number for Desiree Peterson is 1730844960. It was assigned to this individual provider in the NPPES registry on November 2, 2021. The provider is also known as Desiree Elisabeth Barnard-Peterson.

Where is Desiree Peterson located?

Desiree Peterson practices at 1401 W Pulaski St, Fort Worth, TX 76104. The listed phone number is (682) 885-8012.

What is Desiree Peterson's specialty?

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

Is Desiree Peterson enrolled in Medicare?

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

Which organization bills Medicare for Desiree Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Peterson reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). 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 Desiree Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desiree Peterson accept?

Health plans from Antidote Health of TX, Harbor Health and Imperial Insurance Companies, Inc. list Desiree 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.

When was this NPI record last updated?

The NPPES record for Desiree Peterson was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.