Individual provider Active NPI

David A Peterson, FNP

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1902912975
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
670240 Issued in TX
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

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8N8779OtherTXBLUECROSS BLUESHIELD
8Y1617OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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

Enrollment IDStateProvider typePAC IDDetails
I20051020000517 TX Practitioner - Nurse Practitioner 0547286387 Reassigns benefits to 10 organizations
I20180524000706 OK Practitioner - Nurse Practitioner 0547286387 Reassigns benefits to 4 organizations

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
Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians
Level One Emergency Physicians LLCGroup PAC ID 7810371044, 29 clinicians

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 Hospital, Denison, TX, CCN 450324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
670240TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Southwest Medical Services Inc CurrentSince Oct 18, 2021 Accepting new patients
Elite Integral Staffing LLC CurrentSince Sep 1, 2024 Accepting new patients
WH Services Dallas LLC CurrentSince Sep 1, 2023 Accepting new patients
Level One Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Elite Hospital Partners, PLLC CurrentSince Jul 1, 2025 Accepting new patients
John Allen Van Wagoner, MD, PA CurrentSince Dec 1, 2017 Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Practitioner CurrentSince Feb 12, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 17, 2016 Accepting new patients
Elite Hospital Partners of Oklahoma CurrentSince Dec 8, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Dec 1, 2007 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Level One Emergency Specialists LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Concord North Texas, PLLC CurrentSince Jan 21, 2018 Accepting new patients
Nes Oklahoma, Inc. CurrentSince Oct 31, 2022 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

  • Direct secure messaging: davidpeterson@wnjrmc.allscriptsdirect.net
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.