Jeannie M Peake, BSN, MSN, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP009782 Issued in PA

Practice address

8125 Stenton Ave
Philadelphia, PA 19150-3530

Phone

(215) 248-7560

Fax

(215) 248-7564

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foulkeways at GwyneddGroup PAC ID 4082600283, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: foulkewaysatgwyneddhealthservice.jeanniepeake@144782.advancedmd-direct.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Foulkeways at Gwynedd

  • Skilled Nursing Facility
  • Gwynedd, PA
  • NPI 1730182189

  Adult Health

  Medicare reassignment Care Compare group NPD
• Covenant House Inc

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1659462679
  Medicare reassignment NPD
• Covenant House Inc

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1669177911
  NPD

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

• Doylestown Hospital

  • General Acute Care Hospital
  • Doylestown, PA
  • NPI 1225091697
  Care Compare affiliation

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1801065842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E BRINGHURST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441719",
            "telephone_number": "215-844-1020",
            "fax_number": "215-844-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503530",
            "telephone_number": "215-248-7560",
            "fax_number": "215-248-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "JEANNIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BSN, MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009782",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP009783",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "RN561451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach Physical Therapy
• Peach State Medical Practice, PC
• Jennifer Peacher, CRNA
• Andrew Peacock, DPM
• Michael Peagler, CCC-SLP
• Katherine Nicole Peake
• Warren S Pear, MD
• Jordan Pearce
• Sheena Pearce, LPC
• Pearl Dental LLC

• Adult Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.

Verify at the official NPI Registry.