Peterson Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PETERSON URGENT CARE LLC

Practice address

130 W Main St
Kerrville, TX 78028-5270

Phone

(830) 258-7669

Fax

(830) 315-1344

NPI assigned

Feb 8, 2017

Last updated

Mar 11, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PETERSON MEDICAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Lisa M Medovich

Title

Chief Financial Officer

Phone

(830) 258-7632

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Peterson Medical Associates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21041/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Peterson Medical Associates

  • Obstetrics & Gynecology Physician
  • Kerrville, TX
  • NPI 1770800575
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Billy Jack Aguilar, N.P.

  • Nurse Practitioner
  • Kerrville, TX
  • NPI 1821236472
  Medicare reassignment Care Compare group NPD
• Jordan Cluck, FNP-C

  • Family Nurse Practitioner
  • Kerrville, TX
  • NPI 1851933451
  Medicare reassignment Care Compare group NPD
• Benjamin Lucas Harper, MD

  • Emergency Medicine Physician
  • Kerrville, TX
  • NPI 1093763906
  Medicare reassignment Care Compare group NPD
• Hugh David Jones, FNP-C

  • Family Nurse Practitioner
  • Kerrville, TX
  • NPI 1639846702
  Medicare reassignment Care Compare group NPD
• Shelia Ann Mays, FNP-C

  • Family Nurse Practitioner
  • Kerrville, TX
  • NPI 1770712325
  Medicare reassignment Care Compare group NPD
• Alicia Lynn Napper, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1063883999
  Medicare reassignment Care Compare group NPD
• Nicole Smith

  • Family Nurse Practitioner
  • Kerrville, TX
  • NPI 1053029454
  Medicare reassignment Care Compare group NPD
• Laura M Feller, PA

  • Physician Assistant
  • Kerrville, TX
  • NPI 1871726554
  Medicare reassignment Care Compare group
• Robyn Pipkin, APRN

  • Family Nurse Practitioner
  • Kerrville, TX
  • NPI 1497296040
  Medicare reassignment NPD

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1346788544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32522",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285270",
            "telephone_number": "830-258-7669",
            "fax_number": "830-315-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETERSON MEDICAL ASSOCIATES",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "MEDOVICH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "830-258-7632"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benito Pena, O.D
• Pepper Pediatrics Therapy & Consulting, LLC
• Pamela Morris Peter, LPC, LCDC
• David W Peters, MD
• Peterson Medical Associates
• Phillip Balfanz, MD PLLC (Live Oak Psychiatric Services)
• Hailey Crowe Phillips, SLP
• Rebecca Phillips, LCSW
• Phoenix Medical Associates
• Alexandra Pierce, RN, APRN, NP-C

• Urgent Care Clinic/Center in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.