1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Nurse Practitioner
  6. NPI Profile

JOAN MARIE PEACOCK NP
NPI 1619963824
Nurse Practitioner in Albuquerque, NM

Active since September 22, 2005PECOS Enrolled
6100 PAN AMERICAN FREEWAY NE STE 450, ALBUQUERQUE, NM 87109(505) 823-8787(505) 823-8788 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 24, 2017 (2 updates tracked since 2017).

About Joan Marie Peacock Np NPPES

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

JOAN MARIE PEACOCK NP (NPI 1619963824) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (CNP01354) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Montrose.

NPPES Registry Identity

NPI1619963824
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOAN MARIE PEACOCKCredential: NP
Location Address6100 PAN AMERICAN FREEWAY NE STE 450Albuquerque, NM 87109-3460
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 823-8787
Fax(505) 823-8788
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1619963824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · CNP01354
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · Women's HealthTaxonomy 364SW0102X · License R56766 (NM)
6100 PAN AMERICAN FREEWAY NE STE 450, Albuquerque, NM 87109
Open in Google Maps ↗

Secondary Practice Location 1

Location 11845 S Townsend AveMontrose, CO 81401-5448 · Phone (970) 252-5000 · Fax (970) 252-5060

Other Identifiers 2

Medicaid66175526CO
Medicaid000271730NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan Marie Peacock Np 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 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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

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

REBECCA SIMON M.S.N., F.N.P.
Nurse Practitioner (Family)
6100 PAN AMERICAN FREEWAY NE STE 450, OBSTETRICS AND GYNECOLOGY
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8787

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 Joan Peacock's NPI number?

The NPI number for Joan Peacock is 1619963824. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Joan Peacock located?

Joan Peacock practices at 6100 Pan American Freeway NE Ste 450, Albuquerque, NM 87109. The listed phone number is (505) 823-8787.

What is Joan Peacock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joan Peacock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joan Peacock was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.