PETERSON REGIONAL MEDICAL CENTER
NPI 1790782704
General Acute Care Hospital - Rural in Kerrville, TX
About Peterson Regional Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETERSON REGIONAL MEDICAL CENTER (NPI 1790782704) is a healthcare organization registered as a rural in Kerrville, Texas and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists Lisa Medovich, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peterson Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Peterson Regional Medical Center, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 Accreditation 45D0675968
Peterson Regional Medical Center · Kerrville, TXCertificate of Accreditation 45D0499104
Peterson Regional Medical Center · Kerrville, TXHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Peterson Regional Medical Center (CMS certification number 450007), from CMS Care Compare.
Peterson Regional Medical Center
Acute Care Hospitals · Kerrville, TXPatient Experience
HCAHPS patient survey · Jan 2023 – Dec 2023Complications & Deaths 18
Infections 3
Unplanned Hospital Visits 13
Timely & Effective Care 17
Maternal Health 2
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 Sid Peterson Memorial Hospital's NPI number?
The NPI number for Sid Peterson Memorial Hospital is 1790782704. It was assigned to this organization in the NPPES registry on July 5, 2005. The provider is doing business as Peterson Regional Medical Center.
Where is Sid Peterson Memorial Hospital located?
Sid Peterson Memorial Hospital is located at 551 Hill Country Dr, Kerrville, TX 78028. The listed phone number is (830) 896-4200.
What is Sid Peterson Memorial Hospital's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.
Is Sid Peterson Memorial Hospital enrolled in Medicare?
Yes. Sid Peterson Memorial Hospital is registered in the Medicare PECOS enrollment system.
When is Sid Peterson Memorial Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Texas, Hospital) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sid Peterson Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Sid Peterson Memorial Hospital. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Certified Clinical Nurse Specialist (CNS) (1) and Internal Medicine (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sid Peterson Memorial Hospital 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.
Is Sid Peterson Memorial Hospital a Medicare-certified hospital?
Yes. Peterson Regional Medical Center is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.
What quality rating does Sid Peterson Memorial Hospital have?
CMS rates Peterson Regional Medical Center 4 out of 5 stars overall on Care Compare, based on measures of safety, patient experience and outcomes. The full measure detail is in the Hospital Quality Ratings section above.
What insurance does Sid Peterson Memorial Hospital 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 and 2 other insurers list Sid Peterson Memorial Hospital 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 Sid Peterson Memorial Hospital was last updated on July 27, 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.
# Peterson Regional Medical Center · NPI 1790782704
Rural organization in Kerrville, Texas. Organization record, active in the CMS NPPES registry since July 5, 2005.
## Identity
- **NPI:** 1790782704 (Entity type: Organization)
- **Enumerated:** July 5, 2005
- **Primary specialty:** General Acute Care Hospital - Rural · taxonomy 282NR1301X
- **Legal business name:** Sid Peterson Memorial Hospital
- **Organization subpart:** No
- **Authorized official:** Lisa Medovich, CFO
## Practice location
- **Address:** 551 HILL COUNTRY DR, Kerrville, TX 78028-6085
- **Phone:** (830) 896-4200 · **Fax:** (830) 258-7678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Texas, Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Certified Clinical Nurse Specialist (CNS) (1), Internal Medicine (1); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2022
- **Other identifiers:** Medicaid 127294003 (TX); Other HH0439 (TX)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790782704) · Data from the CMS NPPES public registry.