Craig A Peck, A.R.N.P

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

200350022NP Issued in OR

Practice address

960 N 16TH St
Suite 16
Springfield, OR 97477-4175

Phone

(541) 744-6172

Fax

(541) 744-8608

NPI assigned

Jul 19, 2005

Last updated

Nov 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie Physician Services LLCGroup PAC ID 1254307994, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

75.94

Promoting interoperability

100

Improvement activities

40

Cost

83.56

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: capeck@yourcarecommunity.org
• Direct secure messaging: craig.peck.1@1804.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McKenzie Physician Services LLC

  • General Practice Physician
  • Brentwood, TN
  • NPI 1316909054

  OR

  Medicare reassignment Care Compare group NPD
• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287
  NPD (past)
• Metro Heart Group of St. Louis, Inc.

  dba Metro Heart Group

  • Specialist
  • Festus, MO
  • NPI 1487650545
  NPD (past)

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

• McKenzie-Willamette Regional Medical Center Associates LLC

  dba McKenzie-Willamette Medical Center

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1811996176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N 16TH ST",
            "address_2": "SUITE 16",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774175",
            "telephone_number": "541-744-6172",
            "fax_number": "541-744-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N 16TH ST",
            "address_2": "SUITE 16",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774175",
            "telephone_number": "541-744-6172",
            "fax_number": "541-744-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200350022NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peacehealth Medical Group (Peacehealth Employee Pharmacy)
• Peacehealth Networks on Demand, LLC (ZoomCare - Springfield Gateway)
• Peacehealth Riverbend LLC (PeaceHealth Springfield Rehabilitation Hospital)
• Russell Pearl, PA C
• Haven Shyanne Pearson
• Kelsey Pedersen
• Caidance Peeler
• Stephen Peirce, MD
• Leslie Rae Pelinka, M.D.
• Robert F Pellicer, DO

• Adult Health Nurse Practitioner in Springfield, OR
• Providers in Springfield, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.