Kacie Marie Peacock, RN
NPI 1083313159ActiveIndividual· Registered Nurse· Plummer, ID
Registered Nurse (RN) in Plummer, Idaho, licensed in ID, WA and CA, with an NPI issued in February 2023.
Overview
| NPI | 1083313159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Feb 28, 2023 |
| Last updated in NPPES | Feb 28, 2023 |
| Certified by provider | Feb 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 69205 | ID |
| Registered Nurse | 163W00000X | RN61343748 | WA |
| Registered Nurse | 163W00000X | 758195 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Registered Nurse providers in Plummer
- 1255312112
- 1386501757
- 1588645444
- 1558344929
- 1881675742