CRAIG PEEL FNP-C NPI 1356961809

NPI Information

NPI: 1356961809
Provider Name: CRAIG PEEL, FNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: GILLUM FACIAL PLASTIC SURGERY PC

PECOS Registration: Yes

Address:
801 W GARDNER DR
MARION, IN
ZIP 46952
Phone: (765) 651-4278
Get Directions

Craig Peel, FNP-C is a primary care nurse practitioner in Marion, IN with 4 years of experience. Craig Peel, FNP-C NPI is 1356961809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 W GARDNER DR
MARION, IN
ZIP 46952-819
Phone: (765) 651-4278

The NPI 1356961809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2020 and was last updated on 6/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28162730A	INDIANA	No
2	363LP2300X	Nurse Practitioner	Primary Care	28162730A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71010084A	OTHER	INDIANA	STATE BOARD OF NURSING
2	28162730A	OTHER	INDIANA	STATE OF INDIANA
3	F05200239	OTHER		AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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