| Nicole Smith, | |
|
130 W Main St, Kerrville, TX 78028-5270 | |
| (830) 258-7669 | |
| Not Available |
| Full Name | Nicole Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 130 W Main St, Kerrville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053029454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1098967 (Texas) | Primary |
| Entity Name | Peterson Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142 |
| Entity Name | Peterson Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346788544 PECOS PAC ID: 4880079011 Enrollment ID: O20220923001247 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Smith, 575 Hill Country Dr, Kerrville, TX 78028-6024 Ph: () - | Nicole Smith, 130 W Main St, Kerrville, TX 78028-5270 Ph: (830) 258-7669 |
Ms. Elizabeth Ewng Weeks, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Memorial Blvd, Kerrville, TX 78028 Phone: 830-896-2020 Fax: 830-792-2684 | |
Marcie Joyce Sweat, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Junction Hwy, Kerrville, TX 78028 Phone: 830-258-7900 Fax: 830-258-7820 | |
Charles Nicholson Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 301, Kerrville, TX 78028 Phone: 830-258-7762 | |
Kelli Mccall, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-6251 Fax: 830-515-5695 | |
Sophia Lisa Korkis, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 Hill Country Dr Ste 202, Kerrville, TX 78028 Phone: 830-258-6237 Fax: 830-315-1366 | |
Heather Armstrong, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 Bandera Hwy, Kerrville, TX 78028 Phone: 830-258-7762 Fax: 833-905-2454 | |
Maria Santos Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 Bandera Hwy, Kerrville, TX 78028 Phone: 830-258-7762 |