GINA PEACH FNP
NPI 1023734605
Nurse Practitioner - Family in Prineville, OR

Q: What is Gina Peach's NPI number?

The NPI number for Gina Peach is 1023734605. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Q: What is Gina Peach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Peach was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment

384 SE COMBS FLAT RD STE 1200, PRINEVILLE, OR 97754(541) 447-6263 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2023, Oct 17, 2022 (2 updates tracked since 2022).

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About Gina Peach Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA PEACH FNP (NPI 1023734605) is an individual family provider in Prineville, Oregon, licensed in Oregon (202215287NP-PP) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023734605

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGINA PEACHCredential: FNP

Location Address384 SE COMBS FLAT RD STE 1200Prineville, OR 97754-2562

Mailing Address20526 Barrows CtBend, OR 97702-3064 · (541) 971-8792

Phone(541) 447-6263

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 17, 2022

Last NPPES UpdateApril 16, 20252 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1023734605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 202215287NP-PP

384 SE COMBS FLAT RD STE 1200, Prineville, OR 97754

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Peach Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395116172

PECOS Enrollment IDI20230116000552

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER MARIE TOOMEY FNP-C

Nurse Practitioner (Family)