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

Nicole Smith

Individual provider Family Nurse Practitioner · NPI 1053029454

Nicole Smith is a Nurse Practitioner in Kerrville, Texas. Qualified in 2022, 4 years ago. Practices with Peterson Urgent Care LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

130 W Main St
Kerrville, TX 78028-5270
Phone: (830) 258-7669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1098967 (TX)

Record details

NPI number1053029454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address575 Hill Country Dr, Kerrville, TX 78028-6024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peterson Urgent Care Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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