JESSICA ANNE PEACOCK CPNP-PC
NPI 1952886400
Nurse Practitioner - Pediatrics in Gaylord, MI
About Jessica Anne Peacock Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA ANNE PEACOCK CPNP-PC (NPI 1952886400) is an individual pediatrics provider in Gaylord, Michigan, licensed in Michigan (4704248068) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Anne Peacock Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gaylord, MI 49735
- Reassigned Medicare billing, Michigan enrollment
- 168 clinicians in this Medicare group
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 49735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Peacock's NPI number?
The NPI number for Jessica Peacock is 1952886400. It was assigned to this individual provider in the NPPES registry on October 1, 2018.
Where is Jessica Peacock located?
Jessica Peacock practices at 829 N Center Ave Ste 130, Gaylord, MI 49735. The listed phone number is (989) 731-7930.
What is Jessica Peacock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jessica Peacock enrolled in Medicare?
Yes. Jessica Peacock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Peacock reassigns Medicare benefits to Munson Healthcare Otsego Memorial Hospital (Gaylord, MI). 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 Jessica Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Peacock accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jessica Peacock 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 Jessica Peacock was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessica Anne Peacock, CPNP-PC · NPI 1952886400
Pediatrics physician in Gaylord, Michigan. Individual provider, active in the CMS NPPES registry since October 1, 2018.
## Identity
- **NPI:** 1952886400 (Entity type: Individual)
- **Enumerated:** October 1, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 4704248068 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 829 N CENTER AVE STE 130, Gaylord, MI 49735-1684
- **Phone:** (989) 731-7930
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Munson Healthcare Otsego Memorial Hospital (NPI 1164628426, Gaylord, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1952886400) · Data from the CMS NPPES public registry.