BRANDI LEE PECK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265508857

BRANDI LEE PECK (CRNA) is a healthcare provider. based in Fort hood, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP30006658 (WA). The NPI Number for BRANDI LEE PECK (CRNA) is 1265508857

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
BRANDI LEE PECK (CRNA)
NPI
1265508857
Phone
(254) 288-8571
Address
36000 Darnall Loop
Enumeration Date
27 November 2006
Last Update Date
8 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077144515
Graduation Year
2003 (23 years ago)
PAC ID
7517022833
Group Practice PAC ID
4587552575
Professional Enrollment ID
I20090219000338
Address ID
AK996697559SO250XXPLXX300

Contacts

Secure Messaging
bpeck635718@ak.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for BRANDI LEE PECK (CRNA)

  • 36000 Darnall Loop

    Fort Hood, TX 76544

    Phone: (254) 288-8571

    Type: Location

  • Central Peninsula Hospital, 250, Hospital Place, Soldotna, Kenai Peninsula, Alaska, 99669, United States

    SOLDOTNA, AK 996696999

    Phone: (907) 714-4404

    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: 2009-02-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090219000338ICertified Registered Nurse Anesthetist (Crna)AKTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 76544)

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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: 4587552575View full group profile
NameSpecialtyState
Internal MedicineCO
Nurse PractitionerAK
N E U R O L O G YWI
Certified Registered Nurse Anesthetist (Crna)AK
Emergency MedicineAK
Certified Registered Nurse Anesthetist (Crna)AK
P A T H O L O G YAR
-UT
Nurse PractitionerOH
-CT

Reviews

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Frequently asked questions

Can I cross-check BRANDI LEE PECK (CRNA) using NPI 1265508857?
NPI 1265508857 belongs to BRANDI LEE PECK (CRNA); compare other details if you need extra assurance.
Is BRANDI LEE PECK (CRNA) still an active registrant?
BRANDI LEE PECK (CRNA) carries an active NPI according to the public dataset.
What clinical focus is listed for BRANDI LEE PECK (CRNA)?
At a glance, BRANDI LEE PECK (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRANDI LEE PECK (CRNA)?
Travel planning: use Fort Hood, Texas as the reference point for BRANDI LEE PECK (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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