Nicole Peckham, PA-C, RDN
NPI 1073052684 · Physician Assistant · Gainesville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Peckham, PA-C, RDN is a Physician Assistant provider in Gainesville, FL (NPI 1073052684).
Provider details
- NPI number
- 1073052684
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, RDN
- Sex
- Female
- Sole proprietor
- No
- License
- PA9115598 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2025-12-24
- Certified
- 2025-12-24
Frequently asked questions
- What is Nicole Peckham's NPI number?
- Nicole Peckham's National Provider Identifier (NPI) is 1073052684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Peckham's specialty?
- Nicole Peckham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Peckham located?
- Nicole Peckham's practice location on file with NPPES is 1600 Sw Archer Rd, Gainesville, FL 32610-3001.
- What is Nicole Peckham's phone number?
- The practice phone number listed in the NPPES registry for Nicole Peckham is (352) 219-5326.
- Does Nicole Peckham accept Medicare?
- Nicole Peckham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Peckham's NPI active?
- Yes — Nicole Peckham's NPI (1073052684) is active in the NPPES registry as of the last update on 2025-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.