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

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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