Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlotta Petersen, PA

Individual provider Medical Physician Assistant · NPI 1417288911

Carlotta Petersen, PA is a Physician Assistant in Lewisville, Texas. Qualified in 1994, 32 years ago. Practices with Elite Orthopaedics of Irving PLLC, a 57-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

500 W Main St Ste 200
Lewisville, TX 75057-3639
Phone: (877) 314-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6750 N Macarthur Blvd Ste 270, Irving, TX 75039-2469 — (877) 314-8990
  • 1050 E. Hwy. 114, Southlake, TX 76092-5242 — (817) 329-8364

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00598 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA00598 (TX)

Record details

NPI number1417288911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 22, 2010
Last updated in NPPESJanuary 6, 2022
Certification dateApril 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Elite Orthopaedics Of Irving Pllc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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