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JENNIFER J. PEACOCK DNP, APRN, NNP-BC
NPI 1336513704
Clinical Nurse Specialist - Neonatal in Riverton, UT

Active since November 22, 2015PECOS Enrolled
2818 W 12875 S, RIVERTON, UT 84065(801) 232-6595 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2021, Nov 22, 2015 (2 updates tracked since 2015).

About Jennifer J. Peacock Dnp, Aprn, Nnp-bc NPPES

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

JENNIFER J. PEACOCK DNP, APRN, NNP-BC (NPI 1336513704) is an individual neonatal provider in Riverton, Utah, licensed in Utah (289188-4405) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336513704
Entity TypeIndividualFemale
Primary Taxonomy364SN0000X
Provider Legal NameJENNIFER J. PEACOCKCredential: DNP, APRN, NNP-BC
Location Address2818 W 12875 SRiverton, UT 84065-6837
Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-4100 · Fax (801) 662-4166
Phone(801) 232-6595
Sole ProprietorYes
Enumeration DateNovember 22, 2015
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1336513704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SN0000X
License✔ Licensed in UT · 289188-4405
2818 W 12875 S, Riverton, UT 84065
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer J. Peacock Dnp, Aprn, Nnp-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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
1.1 mi
Undersea and Hyperbaric Medicine
3741 W 12600 S STE 220
Riverton, UT 84065
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1073284956 (801) 285-2290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Jennifer Peacock's NPI number?

The NPI number for Jennifer Peacock is 1336513704. It was assigned to this individual provider in the NPPES registry on November 22, 2015.

Where is Jennifer Peacock located?

Jennifer Peacock practices at 2818 W 12875 S, Riverton, UT 84065. The listed phone number is (801) 232-6595.

What is Jennifer Peacock's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Neonatal, with taxonomy code 364SN0000X.

Is Jennifer Peacock enrolled in Medicare?

Yes. Jennifer Peacock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Peacock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Peacock reassigns Medicare benefits to Ihc Health Services Inc (Riverton, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Peacock was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.