Individual provider Active NPI

Peyton Elise Pauze Fishback, FNP-C

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1104757483
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1093883 Issued in TX
Practice address
24285 Katy Fwy Ste 300
Katy, TX 77494-1128
Phone
(346) 387-7171
NPI assigned
May 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1093883 TX Primary

Addresses

Primary practice location

24285 Katy Fwy Ste 300
Katy, TX 77494-1128

Mailing address

22523 Vista Valley Dr
Katy, TX 77450-4422
Phone (713) 569-0199

Other names 1

  • Peyton Pauze Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22523 Vista Valley Dr
Katy, TX 77450-4422

24285 Katy Fwy
Suite 300
Katy, TX 77494

3824 Cedar Springs Rd
Suite 801 5343
Dallas, TX 75219-4136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05260501TXMDGeriatric Medicine (Family Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1104757483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22523 VISTA VALLEY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504422",
            "telephone_number": "713-569-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24285 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941128",
            "telephone_number": "346-387-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUZE FISHBACK",
        "first_name": "PEYTON",
        "middle_name": "ELISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1093883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEYTON",
            "last_name": "PAUZE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.