Individual provider Active NPI

Emily Petermeier, FNP-C

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1265028500
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145768 Issued in TX
Practice address
5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427
Phone
(817) 478-6041
NPI assigned
Dec 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145768 TX Primary

Addresses

Primary practice location

5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427

Mailing address

5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427
Phone (817) 478-6041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317002150 TX Practitioner - Nurse Practitioner 1456767433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

11317 N Central Expy
Suite 100
Dallas, TX 75243-6703
Phone (972) 408-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Feb 1, 2021 Accepting new patients
Innovative Infusions, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

1650 W Rosedale St
Ste 220
Fort Worth, TX 76104
Phone (682) 312-4038

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1265028500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 W PLEASANT RIDGE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164427",
            "telephone_number": "817-478-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W PLEASANT RIDGE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164427",
            "telephone_number": "817-478-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMEIER",
        "first_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.