Shari Lynette Petersen, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1143497 Issued in TX

Practice address

2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968

Phone

(512) 345-8970

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wiseman Family Practice PLLC

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1598195042
  Medicare reassignment Care Compare group NPD
• Valdar LLC

  • Family Nurse Practitioner
  • Bountiful, UT
  • NPI 1336619675
  Medicare reassignment NPD
• Top Medical Now LLC

  • Family Medicine Physician
  • Bountiful, UT
  • NPI 1982308425
  NPD
• Wiseman Family Practice Co PLLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1295602183
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1679340418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 EVELINA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787378546",
            "telephone_number": "737-202-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SHARI",
        "middle_name": "LYNETTE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1143497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Perks, MSN, APRN, FNP-C
• Emma C Perry, APRN, PMHNP-BC
• Amanda Persaud
• Personal Living Solutions LP
• Callie Nicole Peters, DC
• Keerti Kirun Peterson, M.D.
• Tabitha Peterson
• Adelina Petrova, DENTIST D.M.D.
• Yonatan Pevzner, DDS
• Hong-Ngoc Pham

• Family Nurse Practitioner in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.