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JESSICA ANNE PEACOCK CPNP-PC
NPI 1952886400
Nurse Practitioner - Pediatrics in Gaylord, MI

Active since October 01, 2018PECOS Enrolled
829 N CENTER AVE STE 130, GAYLORD, MI 49735(989) 731-7930 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1952886400
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA ANNE PEACOCKCredential: CPNP-PC
Location Address829 N CENTER AVE STE 130Gaylord, MI 49735-1684
Mailing Address4402 W Stutsmanville RdHarbor Springs, MI 49740-9656 · (269) 908-6268
Phone(989) 731-7930
Sole ProprietorNo
Enumeration DateOctober 1, 2018
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1952886400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704248068
829 N CENTER AVE STE 130, Gaylord, MI 49735
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11250 E Michigan AveGrayling, MI 49738-7074 · Phone (989) 348-0550
Location 23860 S Straits HwyIndian River, MI 49749-5146 · Phone (231) 238-0581
Location 314719 W Upright StCharlevoix, MI 49720-1949 · Phone (231) 547-3840
Location 4825 N Center AveGaylord, MI 49735-1592 · Phone (989) 731-2100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Anne Peacock Cpnp-pc 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 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

ALEXIS PAYNE MD
Pediatrics
829 N CENTER AVE STE 130
GAYLORD, MI 49735
Otsego County (989) 731-7930

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.

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 with the weekly NPPES data releases published by CMS.