MS. CHRISTA MICHELE PEACOCK (FNP) – Nurse Practitioner, NPI 1629181524

MS. CHRISTA MICHELE PEACOCK (FNP) is a healthcare provider. based in Redwood city, California. specializing in Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 15243 (CA). The NPI Number for MS. CHRISTA MICHELE PEACOCK (FNP) is 1629181524

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTA MICHELE PEACOCK (FNP)
NPI
1629181524
Phone
(650) 721-8217
Address
450 BROADWAY ST
Enumeration Date
16 August 2006
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507238561
Graduation Year
2004 (22 years ago)
PAC ID
3274811906
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20161031001328
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. CHRISTA MICHELE PEACOCK (FNP)

  • Redwood City, Broadway, Redwood City, San Mateo County, California, 94063, United States

    REDWOOD CITY, CA 940633132

    Phone: (650) 721-8217

    Type: Mailing

  • 450 Broadway St

    Redwood City, CA 940633132

    Phone: (650) 721-8217

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161031001328INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3636$0
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
99443Telephone medical discussion with physician, 21-30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 94063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

How do payers reference MS. CHRISTA MICHELE PEACOCK (FNP)?
For MS. CHRISTA MICHELE PEACOCK (FNP), use NPI 1629181524 as the unique 10-digit identifier.
Is MS. CHRISTA MICHELE PEACOCK (FNP) shown as active in public data?
Registry records indicate MS. CHRISTA MICHELE PEACOCK (FNP) maintains an active NPI.
What area of care is associated with MS. CHRISTA MICHELE PEACOCK (FNP)?
MS. CHRISTA MICHELE PEACOCK (FNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. CHRISTA MICHELE PEACOCK (FNP)?
Travel planning: use Redwood City, California as the reference point for MS. CHRISTA MICHELE PEACOCK (FNP), then confirm.
When was this NPI issued?
Enumeration for MS. CHRISTA MICHELE PEACOCK (FNP) is noted as August 16, 2006 where the registry provides it.

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