JONATHAN PEACH (DNP, ARNP, FNP-BC) – Family Nurse Practitioner, NPI 1316375041
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for JONATHAN PEACH (DNP, ARNP, FNP-BC)
3727 N GOLDENROD RD
SUITE 106
WINTER PARK, FL 327928611
Phone: (407) 478-0028
Type: Mailing
57 Town Ct Ste 218
Palm Coast, FL 321642425
Phone: (386) 248-9101
Fax: (386) 368-8531
Type: Location
1414 N RONALD REAGAN BLVD UNIT 1200
LONGWOOD, FL 327503418
Phone: (407) 878-3208
Fax: (888) 440-5693
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Amgen Inc. ($125).
Total Amount
$201
General + Research + Ownership
Payments
6
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $125 |
| Lilly USA, LLC | $31 |
| Vanda Pharmaceuticals Inc. | $30 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $15 |
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: 2014-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140819001619 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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