Individual provider Active NPI

Ciera Peck, NP

  • Family Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1639069123
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
108283 Issued in WV
Practice address
120 Campus Dr
Martinsburg, WV 25404-7560
Phone
(681) 247-1250
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 108283 WV Primary

Addresses

Primary practice location

120 Campus Dr
Martinsburg, WV 25404-7560

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

Other practice location 2

120 Campus Dr Ste 101
Martinsburg, WV 25404-7561
Phone (681) 247-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20251218002448 WV Practitioner - Nurse Practitioner 0143715094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108283WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince Oct 1, 2025 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Oct 1, 2025 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: cpeck1009699@valleyhealth.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1639069123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAMPUS DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047560",
            "telephone_number": "681-247-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Oak Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254384879",
            "country_code": "US",
            "telephone_number": "304-930-0001",
            "fax_number": "681-252-1843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047561",
            "country_code": "US",
            "telephone_number": "681-247-1250",
            "fax_number": "681-247-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "CIERA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "108283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.