Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083313159 Individual Practitioner Female Practitioner

Kacie Marie Peacock , RN

Registered Nurse • Plummer, ID

Professional Overview & Biography Verified Profile Summary

Kacie Peacock, RN is a registered healthcare professional specializing in Registered Nurse in Plummer, ID. Practice services are available at 4440 HIGHWAY 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4440 Highway 5

Plummer, ID 838519681

Telephone 5598593168

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Plummer, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Plummer, ID (404 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-27
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License ID 69205

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WA RN61343748

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CA 758195

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Na
758195 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2023

Registered at 4440 HIGHWAY 5, PLUMMER, ID 838519681 (Tel: 5598593168)

📍
Updated Business Mailing Address February 28, 2023

Registered at 4440 HIGHWAY 5, PLUMMER, ID 838519681 (Tel: 5598593168)

👤
Provider Name / Credentials Updated February 28, 2023

Recorded as KACIE PEACOCK, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Registered Nurse (License #RN61343748 in WA)

🟢
Initial NPI Registration & Enumeration February 28, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083313159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2023
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

4440 Highway 5

Plummer, ID 838519681

Phone: 5598593168

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.