Active NPI
David A Peterson, FNP
- Family Nurse Practitioner
- Sherman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 670240
- Practice address
- 500 N Highland Ave
Sherman, TX 75092-7354 - Phone
- (903) 870-4609
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP114054 | TX | |
| Family Nurse Practitioner | 363LF0000X | 670240 | TX | Primary |
Addresses
Primary practice location
500 N Highland Ave
Sherman, TX 75092-7354
Mailing address
PO Box 24921
Fort Worth, TX 76124-1921
Phone (817) 451-4208
Other practice location 1
1807 W University Blvd
Durant, OK 74701-3011
Phone (580) 920-2273
Other practice location 2
111 E Fm 120 Ste 104
Pottsboro, TX 75076-7801
Phone (903) 786-3911
Other practice location 3
3126 W Fm 120
Denison, TX 75020-1249
Phone (903) 416-7544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8779 | Other | TX | BLUECROSS BLUESHIELD |
| 8Y1617 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600
5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4000
Hospital & facility affiliations
- Texoma Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670240 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Southwest Medical Services Inc | Current | Accepting new patients | |
| Elite Integral Staffing LLC | Current | Accepting new patients | |
| WH Services Dallas LLC | Current | Accepting new patients | |
| Level One Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Sherman Grayson Hospital LLC | Current | Accepting new patients | |
| Elite Hospital Partners, PLLC | Current | Accepting new patients | |
| John Allen Van Wagoner, MD, PA | Current | Accepting new patients | |
| Lake Granbury Hospital-Based Professional Services | Nurse Practitioner | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Elite Hospital Partners of Oklahoma | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Nurse Practitioner | Current | Accepting new patients |
| Ies ER Oklahoma LLC | Current | Accepting new patients | |
| Level One Emergency Specialists LLC | Nurse Practitioner | Current | Accepting new patients |
| Concord North Texas, PLLC | Current | Accepting new patients | |
| Nes Oklahoma, Inc. | Current | Accepting new patients |
Locations
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600
504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726
5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
5012 S US Highway 75
Ste 150
Denison, TX 75020
Phone (903) 463-8400
1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
6100 Windcom Ct
Ste 101
Plano, TX 75093
Phone (972) 398-3500
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494
4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857
Interoperability endpoints
- davidpeterson@wnjrmc.allscriptsdirect.net
- dpeterson1@yourcarecommunity.org
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Denison, TX
- NPI 1528790193
Nurse Practitioner
-
- Emergency Medicine Physician
- Hillsboro, TX
- NPI 1003523002
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Nurse Practitioner
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Bonham, TX
- NPI 1952761173
-
- Emergency Medicine Physician
- Allen, TX
- NPI 1609625995
-
- Specialist
- Plano, TX
- NPI 1316063993
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1689443467
Nurse Practitioner
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1093487449
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1164112264
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1154104404
-
- Emergency Medicine Physician
- Durant, OK
- NPI 1609648062
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1902912975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24921",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761241921",
"telephone_number": "817-451-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N HIGHLAND AVE",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927354",
"telephone_number": "903-870-4609"
}
],
"practiceLocations": [
{
"address_1": "1807 W University Blvd",
"address_purpose": "LOCATION",
"city": "Durant",
"state": "OK",
"postal_code": "747013011",
"country_code": "US",
"telephone_number": "580-920-2273",
"fax_number": "580-920-9978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E Fm 120 Ste 104",
"address_purpose": "LOCATION",
"city": "Pottsboro",
"state": "TX",
"postal_code": "750767801",
"country_code": "US",
"telephone_number": "903-786-3911",
"fax_number": "903-786-8630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3126 W Fm 120",
"address_purpose": "LOCATION",
"city": "Denison",
"state": "TX",
"postal_code": "750201249",
"country_code": "US",
"telephone_number": "903-416-7544",
"fax_number": "903-416-7545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "DAVID",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP114054",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "670240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8N8779",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8Y1617",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.