What is Ethan Peck's NPI number?

Ethan Peck's National Provider Identifier (NPI) is 1912878455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Peck's specialty?

Ethan Peck is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Ethan Peck located?

Ethan Peck's practice location on file with NPPES is 865 Bellevue Rd Apt J14, Nashville, TN 37221-2774.

What is Ethan Peck's phone number?

The practice phone number listed in the NPPES registry for Ethan Peck is (586) 531-0491.

Is Ethan Peck's NPI active?

Yes — Ethan Peck's NPI (1912878455) is active in the NPPES registry as of the last update on 2025-09-17.

IndividualActive

Ethan Peck

NPI 1912878455 · Physician Assistant · Nashville, TN

Ethan Peck is a Physician Assistant provider in Nashville, TN (NPI 1912878455).

Provider details

NPI number: 1912878455
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% 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

865 Bellevue Rd Apt J14

Nashville, TN 37221-2774

Phone: (586) 531-0491

Street-level locationGet directions

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Mailing address