Individual provider Active NPI

April May Peacock, FNP-BC

  • Family Nurse Practitioner
  • Lenox, MI
National Provider Identifier
1952738304
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704239814 Issued in MI
Practice address
36267 26 Milie Road
Suite 3
Lenox, MI 48048-3166
Phone
(586) 716-1371
Fax
(586) 716-4855
NPI assigned
Oct 1, 2013
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 4704239814 MI Primary

Addresses

Primary practice location

36267 26 Milie Road
Suite 3
Lenox, MI 48048-3166

Mailing address

36267 26 Milie Road
Suite 3
Lenox, MI 48048-3166
Phone (586) 716-1371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140107000826 MI Practitioner - Nurse Practitioner 1759519226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Healthcare Network PCGroup PAC ID 3476456252, 30 clinicians

Practice addresses (Care Compare)

36267 26 Mile Rd
Suite 3
Lenox, MI 48048-3253
Phone (586) 716-1371

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704239814MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Network, PC Nurse Practitioner CurrentSince Oct 14, 2013 Accepting new patients
Physician Healthcare Network, PC Past Accepting new patients
Physician Healthcare Network, PC PastSince Jan 2, 2022 Accepting new patients

Locations

10127 Marine City Hwy
Ira, MI 48023
Phone (586) 716-1371

36267 26 Mile Rd
Ste 3
Lenox, MI 48048
Phone (586) 716-1371

3350 Gratiot Blvd
Marysville, MI 48040
Phone (810) 364-4000

Interoperability endpoints

  • Direct secure messaging: april.peacock.1@11357.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1952738304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36267 26 MILIE ROAD",
            "address_2": "SUITE 3",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480483166",
            "telephone_number": "586-716-1371",
            "fax_number": "586-716-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36267 26 MILIE ROAD",
            "address_2": "SUITE 3",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480483166",
            "telephone_number": "586-716-1371",
            "fax_number": "586-716-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "APRIL",
        "middle_name": "MAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MI

Sources for this page

Verify at the official NPI Registry.