MAUREEN J. PEACOCK (FNP) – Family Nurse Practitioner, NPI 1649670639

MAUREEN J. PEACOCK (FNP) is a healthcare provider. based in Rogersville, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 19165 (TN). The NPI Number for MAUREEN J. PEACOCK (FNP) is 1649670639

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MAUREEN J. PEACOCK (FNP)
NPI
1649670639
Phone
(423) 788-9374
Address
PO BOX 850
Enumeration Date
27 August 2014
Last Update Date
12 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8556323278
Graduation Year
2014 (12 years ago)
PAC ID
0840412045
Group Practice PAC ID
5395881841
Professional Enrollment ID
I20141103001733
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MAUREEN J. PEACOCK (FNP)

  • PO BOX 850

    ROGERSVILLE, TN 378570850

    Phone: (423) 788-9374

    Fax: (423) 921-1681

    Type: Mailing

  • 4307 Highway 66 S

    Rogersville, TN 378573155

    Phone: (423) 921-1600

    Fax: (423) 921-1681

    Type: Location

  • 600 BOONES CREEK RD

    JONESBOROUGH, TN 376595167

    Phone: (423) 788-9374

    Fax: (423) 788-9377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $634.

Total Amount is formed as General ($634) + Research ($0) + Ownership ($0) = $634.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($161).

Total Amount

$634

General + Research + Ownership

Payments

10

Total payment records

General Amount

$634

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-11-03

PECOS data refreshed: 2026-06-15

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
I20141103001733INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37857)

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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: 5395881841View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MAUREEN J. PEACOCK (FNP) in U.S. healthcare records?
The official identifier for MAUREEN J. PEACOCK (FNP) is NPI 1649670639.
Would MAUREEN J. PEACOCK (FNP) appear as active to a payer?
You can treat MAUREEN J. PEACOCK (FNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MAUREEN J. PEACOCK (FNP)?
MAUREEN J. PEACOCK (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MAUREEN J. PEACOCK (FNP) located near Rogersville?
MAUREEN J. PEACOCK (FNP) currently maps to Rogersville, Tennessee in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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