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

Mary E Peterson, NP

Individual provider Nurse Practitioner · NPI 1174791115

Mary E Peterson, NP is a Nurse Practitioner in Austin, Texas. Qualified in 2006, 20 years ago. Practices with University of Texas Health Science Center at Tyler-Facilty-Physician, a 119-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Licensed in
AZ
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

901 W Ben White Blvd
Austin, TX 78704-6903
Phone: (512) 816-8611
Fax: (512) 816-6171
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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 AP2970 (AZ)

Record details

NPI number1174791115
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 12, 2008
Last updated in NPPESDecember 13, 2016
Mailing address901 W Ben White Blvd, Austin, TX 78704-6903

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice University Of Texas Health Science Center At Tyler-Facilty-Physician — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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