Susan Peck, RN, PHD, GNP-BC
NPI 1104813179 · Gerontology Nurse Practitioner · Eau Claire, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Peck, RN, PHD, GNP-BC is a Gerontology Nurse Practitioner provider in Eau Claire, WI (NPI 1104813179).
Provider details
- NPI number
- 1104813179
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, PHD, GNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 325-033 (WI)
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
20 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
- 2005-10-04
- Last updated
- 2019-03-11
Frequently asked questions
- What is Susan Peck's NPI number?
- Susan Peck's National Provider Identifier (NPI) is 1104813179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Peck's specialty?
- Susan Peck is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Susan Peck located?
- Susan Peck's practice location on file with NPPES is 2130 Brackett Ave Ste B, Eau Claire, WI 54701-4928.
- What is Susan Peck's phone number?
- The practice phone number listed in the NPPES registry for Susan Peck is (715) 895-8571.
- Does Susan Peck accept Medicare?
- Susan Peck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Peck's NPI active?
- Yes — Susan Peck's NPI (1104813179) is active in the NPPES registry as of the last update on 2019-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.