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CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
NPI 1356090880
Pediatrics in Saint Joseph, MO

Active since March 22, 2022CLIA Certified · 2 labs
805 N 36TH ST STE B, SAINT JOSEPH, MO 64506(816) 396-6026 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's Mercy - Peacock Pediatrics, Inc NPPES

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

CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC (NPI 1356090880) is a healthcare organization registered as a pediatrics in Saint Joseph, Missouri and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates and lists Robert D Finuf, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1356090880
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
Location Address805 N 36TH ST STE BSaint Joseph, MO 64506-2954
Mailing Address2401 Gillham Rd, Attn: Provider EnrollmentKansas City, MO 64108-4619 · (816) 701-5200
Phone(816) 396-6026
Organization SubpartNo
Authorized OfficialRobert D FinufSenior Vice President · (816) 701-5200
Enumeration DateMarch 22, 2022
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1356090880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
805 N 36TH ST STE B, Saint Joseph, MO 64506
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Other Names 1

Other NamePeacock Pediatrics - An Affiliate Of Children's Mercy

Other Identifiers 1

Medicaid830085654MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2183836

Children's Mercy - Peacock Pediatrics, Inc · Saint Joseph, MO
Active · expires May 10, 2028
CLIA Number26D2183836
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorAmanda D. Williams
Laboratory Phone(816) 396-6026
Laboratory LocationChildren's Mercy - Peacock Pediatrics, Inc805 N 36th St Suite B, Saint Joseph, MO 64506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2306734

Children's Mercy - Peacock Pediatrics, Inc · Platte City, MO
Active · expires Jun 23, 2028
CLIA Number26D2306734
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorAmanda D. Williams
Laboratory Phone(816) 396-6026
Laboratory LocationChildren's Mercy - Peacock Pediatrics, Inc1300 Plaza Court, Platte City, MO 64079
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SARAH LINDSEY SASS
Nurse Practitioner (Pediatrics)
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 396-6026
PEACOCK PEDIATRICS, LLC
Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 396-6026
MICHELLE Y CEBULKO M.D.
Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 396-6026
DR. AMANDA DAWN WILLIAMS DO
Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 396-6026
DANA L KAPP PNP-BC
Nurse Practitioner (Pediatrics)
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 396-6026

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 Children's Mercy - Peacock Pediatrics, Inc's NPI number?

The NPI number for Children's Mercy - Peacock Pediatrics, Inc is 1356090880. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is also known as Peacock Pediatrics - An affiliate of Children's Mercy.

Where is Children's Mercy - Peacock Pediatrics, Inc located?

Children's Mercy - Peacock Pediatrics, Inc is located at 805 N 36th St Ste B, Saint Joseph, MO 64506. The listed phone number is (816) 396-6026.

What is Children's Mercy - Peacock Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Children's Mercy - Peacock Pediatrics, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Children's Mercy - Peacock Pediatrics, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Children's Mercy - Peacock Pediatrics, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Children's Mercy - Peacock Pediatrics, Inc was last updated on April 23, 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.