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PETERSON MEDICAL ASSOCIATES
NPI 1770800575
Obstetrics & Gynecology in Kerrville, TX

Active since May 03, 2010CLIA Certified · 2 labs
575 HILL COUNTRY DR, STE 202, KERRVILLE, TX 78028(830) 258-6237(830) 315-1366 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2023, Jul 27, 2022, Feb 2, 2017 (3 updates tracked since 2017).

About Peterson Medical Associates NPPES

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

PETERSON MEDICAL ASSOCIATES (NPI 1770800575) is a healthcare organization registered as an obstetrics & gynecology in Kerrville, Texas and active in the NPI registry since May 2010. The organization holds 2 active CLIA laboratory certificates and lists Lisa Medovich, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770800575
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePETERSON MEDICAL ASSOCIATES
Location Address575 HILL COUNTRY DR, STE 202Kerrville, TX 78028-6024
Mailing AddressPo Box 26499Belfast, ME 04915-2015 · (830) 258-7343 · Fax (830) 258-7678
Phone(830) 258-6237
Fax(830) 315-1366
Organization SubpartNo
Authorized OfficialLisa MedovichCfo · (830) 258-7632
Enumeration DateMay 3, 2010
Last NPPES UpdateMarch 11, 20233 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
✔ NPI 1770800575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · 550119
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 550119 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License 550119 (TX)
575 HILL COUNTRY DR, Kerrville, TX 78028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2146135

Peterson Medical Associates - Kerrville · Kerrville, TX
Active · expires Mar 21, 2028
CLIA Number45D2146135
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorJarrod S. Wiggins
Laboratory Phone(830) 522-2002
Laboratory LocationPeterson Medical Associates - Kerrville1331 Bandera Hwy Suite 2, 3, 4, Kerrville, TX 78028
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2316164

Peterson Medical Associates - Comfort · Kerrville, TX
Active · expires Dec 29, 2026
CLIA Number45D2316164
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorShannon F. Klump
Laboratory Phone(830) 258-7094
Laboratory LocationPeterson Medical Associates - Comfort608 Front St, Kerrville, TX 78028
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2043957

Peterson Medical Associates · Kerrville, TX
Expired · Jul 12, 2026
CLIA Number45D2043957
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2024
Certificate Expiration DateJuly 12, 2026
Laboratory DirectorMartha Elizabeth Wilfong
Laboratory Phone(830) 895-7755
Laboratory LocationPeterson Medical Associates575 Hill Country Drive, Kerrville, TX 78028
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

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

MRS. NIESSA COLLETTE MEIER RN, CNM
Advanced Practice Midwife
575 HILL COUNTRY DR, STE 202
KERRVILLE, TX 78028
Kerr County (830) 258-6237
DR. EDWARD L ERB D.O.
Surgery (Vascular Surgery)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
JENNA LEE CUMMINGS ACNP
Nurse Practitioner (Acute Care)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
DR. M ELIZABETH RUIZ WILFONG D.O.
Obstetrics & Gynecology
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-6237
DR. LINDY THADDEUS RACHAL M.D.
Internal Medicine (Gastroenterology)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
MRS. LORI GAYLE PRUITT FNP-C
Nurse Practitioner (Family)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
SAMANTHA MARIE PIERCE CNM, WHNP
Advanced Practice Midwife
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-6237
MS. MEGAN DANIELLE HILLIS CNM
Midwife
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-6237

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 Peterson Medical Associates's NPI number?

The NPI number for Peterson Medical Associates is 1770800575. It was assigned to this organization in the NPPES registry on May 3, 2010.

Where is Peterson Medical Associates located?

Peterson Medical Associates is located at 575 Hill Country Dr Ste 202, Kerrville, TX 78028. The listed phone number is (830) 258-6237.

What is Peterson Medical Associates's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Peterson Medical Associates hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Peterson Medical Associates accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Peterson Medical Associates 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 Peterson Medical Associates was last updated on March 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.