Individual provider Active NPI

Deborah K Peacock, APRN

  • Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1457933012
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11012820 Issued in FL
Practice address
1210 Vintage Way
Fernandina Beach, FL 32034-0299
Phone
(904) 261-0922
Fax
(904) 390-7477
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11012820 FL
Nurse Practitioner 363L00000X APRN11012820 FL Primary

Addresses

Primary practice location

1210 Vintage Way
Fernandina Beach, FL 32034-0299

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other practice location 1

1888 S 14th St
Fernandina Beach, FL 32034-3054
Phone (904) 261-0922

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512001237 FL Practitioner - Nurse Practitioner 1658780267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1888 S 14TH St
Fernandina Beach, FL 32034-3054
Phone (904) 261-0922

Hospital & facility affiliations

  • Accentcare Home Health of Jacksonville Home health agency, Orange Park, FL, CCN 107725
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Baptist Primary Care Inc Nurse Practitioner CurrentSince Dec 6, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 24, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 24, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 24, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Baptist Primary Care Inc CurrentSince Dec 6, 2021 Accepting new patients

Locations

45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544

1348 S 18th St
Ste 100
Fernandina Beach, FL 32034
Phone (904) 261-0878

1888 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-0922

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

76011 William Burgess Blvd
Yulee, FL 32097
Phone (904) 427-8585

Interoperability endpoints

  • Direct secure messaging: dcarter20972@baptisthealthsystemjacksonville.direct-ci.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.

Hospital & facility affiliations 3

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1457933012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 VINTAGE WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340299",
            "telephone_number": "904-261-0922",
            "fax_number": "904-390-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1888 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320343054",
            "country_code": "US",
            "telephone_number": "904-261-0922",
            "fax_number": "904-390-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012820",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.