Active NPI
Laura Faye Peacock, NP
- Family Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71006726A
- Practice address
- 770 Park East Blvd Ste B
Lafayette, IN 47905 - Phone
- (765) 714-4344
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 71006726A | IN | Primary |
Addresses
Primary practice location
770 Park East Blvd Ste B
Lafayette, IN 47905
Mailing address
PO Box 5748
Lafayette, IN 47903-5748
Other practice location 1
440 W Songer Ln
Veedersburg, IN 47987-8547
Phone (765) 762-4180
Other practice location 2
107 S Washington St Ste C
Kokomo, IN 46901-4601
Phone (765) 450-6735
Other practice location 3
412 N Monroe St
Williamsport, IN 47993-1049
Phone (765) 462-7000
Other practice location 4
613 Terrace Dr
Winamac, IN 46996-1111
Phone (574) 946-4290
Other practice location 5
1101 Michigan Ave Ste 30
Logansport, IN 46947-1528
Phone (574) 753-7541
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura.peacock@1346.securemail.prognocis.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulaski Memorial Hospital
Practice addresses (Care Compare)
616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2100
770 Park E Blvd B
Lafayette, IN 47905-0786
Phone (765) 714-4344
Hospital & facility affiliations
- Pulaski Memorial Hospital
- Memorial Hospital
- Franciscan Health Lafayette
- Northwest Health - Starke
- Indiana University Health White Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Lafayette Pain Care, P.C. | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Lafayette Pain Care PC | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Kokomo Ambulatory Surgery Center | Past | Accepting new patients |
Locations
107 S Washington St
Ste A
Kokomo, IN 46901
Phone (765) 450-6735
107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040
770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344
1714 Dividend Dr
Logansport, IN 46947
Phone (574) 739-1776
1101 Michigan Ave
Ste 30
Logansport, IN 46947
Phone (574) 753-7541
707 N River Dr
Marion, IN 46952
Phone (765) 573-5999
1127 N Western Ave
Marion, IN 46952
Phone (765) 661-2994
1207 E Grace St
Rensselaer, IN 47978
Phone (800) 541-8142
412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496
525 E 13th St
Winamac, IN 46996
Phone (219) 946-6886
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327
613 Terrace Dr
Winamac, IN 46996
Phone (574) 946-4290
Interoperability endpoints
- laura.peacock@4347.securemail.prognocis.com
- laura.peacock@1346.securemail.prognocis.com
Organizations & group practices 7
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.
-
- Pain Medicine Physician
- Lafayette, IN
- NPI 1205189594
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
-
- Rural Health Clinic/Center
- Winamac, IN
- NPI 1740403419
-
- Interventional Pain Medicine Physician
- Logansport, IN
- NPI 1548970478
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
-
- Rural Health Clinic/Center
- Culver, IN
- NPI 1952026015
-
- Ambulatory Surgical Clinic/Center
- Kokomo, IN
- NPI 1609376409
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- Critical Access Hospital
- Monticello, IN
- NPI 1710983945
-
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1144763855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5748",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PARK EAST BLVD STE B",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "47905",
"telephone_number": "765-714-4344"
}
],
"practiceLocations": [
{
"address_1": "440 W Songer Ln",
"address_purpose": "LOCATION",
"city": "Veedersburg",
"state": "IN",
"postal_code": "479878547",
"country_code": "US",
"telephone_number": "765-762-4180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 S Washington St Ste C",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469014601",
"country_code": "US",
"telephone_number": "765-450-6735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "412 N Monroe St",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "IN",
"postal_code": "479931049",
"country_code": "US",
"telephone_number": "765-462-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "613 Terrace Dr",
"address_purpose": "LOCATION",
"city": "Winamac",
"state": "IN",
"postal_code": "469961111",
"country_code": "US",
"telephone_number": "574-946-4290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Michigan Ave Ste 30",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "469471528",
"country_code": "US",
"telephone_number": "574-753-7541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACOCK",
"first_name": "LAURA",
"middle_name": "FAYE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006726A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.peacock@1346.securemail.prognocis.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "770 Park East Blvd Ste B",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "47905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.