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

Kelly Peterson, APRN

Individual provider Nurse Practitioner · NPI 1639787872

Kelly Peterson, APRN is a Nurse Practitioner in Fort Sam Houston, Texas. Qualified in 2020, 6 years ago. Practices with Central Texas Intensivists PLLC, a 21-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-4863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1130715 (TX)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1639787872
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Central Texas Intensivists Pllc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Sam Houston