NPI age
3 years
Enumerated 2023-02-28
● Active
Type 1 · Individual
MRS. Kacie Marie Peacock, RN
Peacock is 1 of 6 registered nurse providers in Plummer and 1 of 354 in Idaho.
Primary specialty
Registered Nurse
Plus 2 subspecialties
Licensed in
ID, WA, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-02-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 354 active registered nurse providers in Idaho.
NPI age
3 years
≈ at median (3 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-02Enumerated in NPPES
2023
2026
Where they practice
Practice location
4440 Highway 5
Plummer, ID 838519681
Mailing address
4440 Highway 5
Plummer, ID 838519681
Specialties
-
Registered Nurse Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 758195 | NA |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new registered nurse provider has been added in Plummer in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.