Active NPI
Margaret Leigh Ann Peck, ARNP, FNP-BC
- Family Nurse Practitioner
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9166681
- Practice address
- 4090 S Ridgewood Ave
Port Orange, FL 32127-4501 - Phone
- (386) 761-0050
- Fax
- (386) 761-1167
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9166681 | FL | Primary |
Addresses
Primary practice location
4090 S Ridgewood Ave
Port Orange, FL 32127-4501
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other names 1
- Margaret Leigh Ann Stachowiak
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | margaret.peck.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1426 Cricket Hollow LN
Jacksonville, FL 32259-9235
6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126
PO Box
Suite 40767
Jacksonville, FL 32203
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9166681 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Current | Accepting new patients | |
| Metcare of Florida, Inc | Current | Accepting new patients |
Locations
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
4090 S Ridgewood Ave
Pt Orange, FL 32127
Phone (386) 280-7251
Interoperability endpoints
- margaret.peck.1@29601.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
dba Conviva Care Center
- Internal Medicine Physician
- Port Orange, FL
- NPI 1619433869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1083046346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4090 S RIDGEWOOD AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274501",
"telephone_number": "386-761-0050",
"fax_number": "386-761-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "MARGARET",
"middle_name": "LEIGH ANN",
"credential": "ARNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9166681",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "margaret.peck.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "4090 S Ridgewood Ave",
"city": "Port Orange",
"state": "FL",
"country_code": "US",
"postal_code": "321274501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "STACHOWIAK",
"middle_name": "LEIGH ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.