Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619963824 Individual Practitioner Female Practitioner

Joan Marie Peacock , NP

Nurse Practitioner • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Joan Peacock, NP is a registered healthcare professional specializing in Nurse Practitioner in Albuquerque, NM. Practice services are available at 6100 PAN AMERICAN FREEWAY NE STE 450 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of lymphedema extracellular fluid. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6100 Pan American Freeway Ne Ste 450

Albuquerque, NM 871093460

Telephone 5058238787
Fax 5058238788
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
284 Specialists

Practicing in Albuquerque, NM (577 Statewide)

Telehealth Adoption Rate
18.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
15 12 $80.00 $72.75
93702 Measurement of lymphedema extracellular fluid
14 14 $45.00 $45.00

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NM CNP01354

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Clinical Nurse Specialist - Women's Health

NUCC Taxonomy Code: 364SW0102X

State License NM R56766

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000271730 (NM)
Medicaid State Provider ID
66175526 (CO)

Secondary Practice Locations

1845 S Townsend Ave

Montrose, CO 814015448

Phone: 9702525000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Jennifer Gill , MD

Obstetrics & Gynecology

NPI 1013335470

Doctor of Medicine (M.D.)

Dr. Sophie Peterson , MD

Obstetrics & Gynecology

NPI 1033310677

Doctor of Medicine (M.D.)

Nicole Romero , CNM

Advanced Practice Midwife

NPI 1306196993

Certified Nurse Midwife

Erin Stopani , CNM

Advanced Practice Midwife

NPI 1356750210

Certified Nurse Midwife

Dr. Juliet Labreche , MD

Obstetrics & Gynecology

NPI 1477715308

Doctor of Medicine (M.D.)

Rebecca Simon , MSN, FNP

Nurse Practitioner - Family

NPI 1578235487

Master of Science in Nursing, Family Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 6100 PAN AMERICAN FREEWAY NE STE 450, ALBUQUERQUE, NM 871093460 (Tel: 5058238787)

📍
Updated Business Mailing Address March 17, 2018

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as JOAN PEACOCK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Clinical Nurse Specialist (License #R56766 in NM)

NPI Profile Active October 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2017

Registered at 6100 PAN AMERICAN FREEWAY NE STE 450, ALBUQUERQUE, NM 871093460 (Tel: 5058238787)

📍
Updated Business Mailing Address October 24, 2017

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

👤
Provider Name / Credentials Updated October 24, 2017

Recorded as JOAN PEACOCK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2017

Nurse Practitioner (License #CNP01354 in NM)

NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2011

Registered at 1845 S TOWNSEND AVE, MONTROSE, CO 814015448 (Tel: 9702525000)

📍
Updated Business Mailing Address October 24, 2011

Registered at 5341 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 871093164 (Tel: 5052440640)

👤
Provider Name / Credentials Updated October 24, 2011

Recorded as JOAN PEACOCK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Clinical Nurse Specialist (License #R56766 in NM)

🟢
Initial NPI Registration & Enumeration September 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Joan Peacock. Be the first to share your experience!

Sign in to leave a review for Joan Peacock

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619963824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2005
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059236770

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.