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DR. SUSAN D PECK RN, PHD, GNP-BC
NPI 1104813179
Nurse Practitioner - Gerontology in Eau Claire, WI

Active since October 04, 2005PECOS Enrolled
2130 BRACKETT AVE STE B, EAU CLAIRE, WI 54701(715) 895-8571(715) 895-8573 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan D Peck Rn, Phd, Gnp-bc NPPES

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

DR. SUSAN D PECK RN, PHD, GNP-BC (NPI 1104813179) is an individual gerontology provider in Eau Claire, Wisconsin, licensed in Wisconsin (325-033) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104813179
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDR. SUSAN D PECKCredential: RN, PHD, GNP-BC
Location Address2130 BRACKETT AVE STE BEau Claire, WI 54701-4928
Mailing Address1417 Wilson StEau Claire, WI 54701-4808 · (715) 829-7325 · Fax (715) 895-8573
Phone(715) 895-8571
Fax(715) 895-8573
Sole ProprietorYes
Enumeration DateOctober 4, 2005
Last NPPES UpdateMarch 11, 2019
✔ NPI 1104813179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WI · 325-033
2130 BRACKETT AVE STE B, Eau Claire, WI 54701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan D Peck Rn, Phd, Gnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Peck's NPI number?

The NPI number for Susan Peck is 1104813179. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Susan Peck located?

Susan Peck practices at 2130 Brackett Ave Ste B, Eau Claire, WI 54701. The listed phone number is (715) 895-8571.

What is Susan Peck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Susan Peck enrolled in Medicare?

Yes. Susan Peck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Peck was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.