Susan Peck, RN, PHD, GNP-BC

ActiveIndividual ProviderNurse Practitioner
NPI issued: October 4, 2005

Quick Facts

NPI Number
1104813179
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LG0600X — Nurse Practitioner
Phone
(715) 895-8571
StateWI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104813179)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 4, 2005)
Data source: CMS NPPES

Provider Overview

SUSAN PECK, RN, PHD, GNP-BC is a Nurse Practitioner provider based in Eau Claire, WI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104813179
Provider TypeIndividual Provider
GenderFemale
CredentialRN, PHD, GNP-BC
StatusActive
Enumeration DateOctober 4, 2005

Practice Location

CityEau Claire
StateWI
ZIP Code54701-4928
Phone(715) 895-8571

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LG0600X
License StateWI

Mailing Address

CityEau Claire
StateWI
ZIP Code54701-4928
Phone(715) 895-8571
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104813179 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104813179for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104813179 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
📊
10,431
Nurse Practitioner Providers in the US

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People Also Ask

What is Susan Peck's NPI number?
Susan Peck's NPI number is 1104813179, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Susan Peck's NPI currently active?
Yes, Susan Peck's NPI status is Active as of the latest CMS NPPES database updates.
What does Susan Peck specialize in?
Susan Peck specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LG0600X.
Where does Susan Peck practice?
Susan Peck practices in Eau Claire, WI 54701-4928.
When was Susan Peck's NPI issued?
Susan Peck's NPI was issued on October 4, 2005.
What is Susan Peck's provider type?
Susan Peck is registered as an Individual Provider under CMS NPI Type 1.