Active NPI
James Peacock, CRNA
- Certified Registered Nurse Anesthetist
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 082165-23
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- Fax
- (603) 640-1228
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | N30848 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 255585 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 082165-23 | NH | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RNA36627 | RI |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
10 Orms St
Suite 110
Providence, RI 02904-2228
Phone (401) 453-0666
Other practice location 1
101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5006
Other practice location 2
593 Eddy St
Suite 110
Providence, RI 02903-4923
Phone (401) 444-2284
Other practice location 3
75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1286 | Other | RI | BLUE CROSS PROVIDER NUMBER |
| 001803 | Other | RI | BLUE CHIP PROVIDER NUMBER |
| 1306892062 | Other | MA | FALLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VT, NH, NY
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
- Catholic Medical Center
- The University of Vermont Health Network - Champl
- White Plains Hospital Center
- Mary Hitchcock Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003597 | CT | MD | Clinical Psychologist |
| N30848 | NY | MD | Anesthesiology Physician |
| RNA36627 | RI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of New York - Patchogue PC | Anesthesiology | Current | Accepting new patients |
| Matrix Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Matrix Pathology and Laboratory Services PLLC | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia Massachusetts LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia New Hampshire LLP | Anesthesiology | Current | Accepting new patients |
| Catholic Medical Center | Anesthesiology | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Granite State Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Anesthesiology Assoc of Taunton Inc | Anesthesiology | Past | Accepting new patients |
| Lifespan Physician Group, Inc. | Past | Accepting new patients | |
| Norwich Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
| North American Partners in Anesthesia Connecticut PC | Anesthesiology | Past | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
Organizations & group practices 19
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.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
-
- Anesthesiology Physician
- Patchogue, NY
- NPI 1366920993
NH
-
- Anesthesiology Physician
- Brockton, MA
- NPI 1700028032
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1457867020
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Keene, NH
- NPI 1174176861
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1821815010
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1306892062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ORMS ST",
"address_2": "SUITE 110",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042228",
"telephone_number": "401-453-0666",
"fax_number": "401-453-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5000",
"fax_number": "603-640-1228"
}
],
"practiceLocations": [
{
"address_1": "101 Page St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027403464",
"country_code": "US",
"telephone_number": "508-973-5006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-2284",
"fax_number": "401-444-5083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011427",
"country_code": "US",
"telephone_number": "518-561-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACOCK",
"first_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "N30848",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "255585",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "082165-23",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "RI",
"license": "RNA36627",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBER",
"identifier": "1286",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP PROVIDER NUMBER",
"identifier": "001803",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1306892062",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
- 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.