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GINA GRACE PETERSON MSN, APRN, CPNP-AC
NPI 1932082575
Nurse Practitioner - Pediatrics in The Woodlands, TX

Active since July 30, 2025PECOS Enrolled
17198 ST LUKES WAY STE 300, THE WOODLANDS, TX 77384(936) 321-0808 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gina Grace Peterson Msn, Aprn, Cpnp-ac NPPES

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

GINA GRACE PETERSON MSN, APRN, CPNP-AC (NPI 1932082575) is an individual pediatrics provider in The Woodlands, Texas, licensed in Texas (1207882) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932082575
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameGINA GRACE PETERSONCredential: MSN, APRN, CPNP-AC
Location Address17198 ST LUKES WAY STE 300The Woodlands, TX 77384-8014
Mailing Address167 E Elm CresThe Woodlands, TX 77382-1048 · (214) 794-8876
Phone(936) 321-0808
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1932082575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1207882
17198 ST LUKES WAY STE 300, The Woodlands, TX 77384
Open in Google Maps ↗

Secondary Practice Location 1

Location 16621 Fannin StHouston, TX 77030-2358 · Phone (832) 824-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Grace Peterson Msn, Aprn, Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789180761
PECOS Enrollment IDI20250929003980
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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 2

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

LAUREN A BRETZ M.D.
Pediatrics
17198 ST LUKES WAY STE 300
THE WOODLANDS, TX 77384
Montgomery County (936) 267-6300
MS. JANE P CRANSTON OTR
Occupational Therapist
17198 ST LUKES WAY STE 300
THE WOODLANDS, TX 77384
Montgomery County (832) 828-4117

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 Gina Peterson's NPI number?

The NPI number for Gina Peterson is 1932082575. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Gina Peterson located?

Gina Peterson practices at 17198 St Lukes Way Ste 300, The Woodlands, TX 77384. The listed phone number is (936) 321-0808.

What is Gina Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Gina Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gina Peterson was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.