Susan D. Peck, RN, PHD, GNP-BC
NPI 1104813179ActiveIndividual· Nurse Practitioner, Gerontology· Eau Claire, WI
Nurse Practitioner, Gerontology (RN, PHD, GNP-BC) in Eau Claire, Wisconsin, licensed in WI, with an NPI issued in October 2005. Part D covered 20 prescriptions written in 2024, 70% of them generic.
Overview
| NPI | 1104813179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, PHD, GNP-BC |
| Sole proprietor | Yes |
| NPI issued | Oct 4, 2005 |
| Last updated in NPPES | Mar 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 325-033 | WI |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 42 30-day fills |
|---|---|
| Total drug cost | $2,580 |
| Generic share | 70% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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