Individual provider Active NPI

James Peacock, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, NH
National Provider Identifier
1306892062
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
082165-23 Issued in NH
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

Updated by the provider on May 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1286OtherRIBLUE CROSS PROVIDER NUMBER
001803OtherRIBLUE CHIP PROVIDER NUMBER
1306892062OtherMAFALLON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT, NH, NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070412000498 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608887310 Reassigns benefits to 3 organizations
I20141028000444 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608887310 Reassigns benefits to 1 organization
I20231107002161 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608887310 Reassigns benefits to 5 organizations
I20260506000541 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608887310 Reassigns benefits to 1 organization

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
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Champlain Valley Physicians Hospital Medical CenterGroup PAC ID 2769396878, 356 clinicians

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 Hospital, Manchester, NH, CCN 300034
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
003597CTMDClinical Psychologist
N30848NYMDAnesthesiology Physician
RNA36627RIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Anesthesiology CurrentSince Feb 10, 2026 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC Anesthesiology CurrentSince Oct 11, 2023 Accepting new patients
Matrix Anesthesia, PC Anesthesiology CurrentSince Oct 1, 2009 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 10, 2026 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Anesthesiology CurrentSince Sep 26, 2023 Accepting new patients
Catholic Medical Center Anesthesiology CurrentSince Jan 3, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 10, 2026 Accepting new patients
Granite State Anesthesia Partners, LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 10, 2026 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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.