Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Peacock, FNP

Individual provider Family Nurse Practitioner · NPI 1881376127

Ellen Peacock, FNP is a Nurse Practitioner in Clovis, New Mexico. Qualified in 2023, 3 years ago. Practices with Dynamic Healthcare LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

912 W 21st St
Clovis, NM 88101-4149
Phone: (575) 935-9000
Fax: (575) 935-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 3rd St Ste B, Farwell, TX 79325-4669 — (806) 481-7000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 74907 (NM)

Record details

NPI number1881376127
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 4, 2023
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address912 W 21st St, Clovis, NM 88101-4149

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dynamic Healthcare Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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