Individual provider Active NPI

David Michael Creger, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1023533502
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09263 Issued in LA
Practice address
716 Village Rd Ste a
Kenner, LA 70065-2751
Phone
(504) 464-8895
Fax
(504) 464-8896
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09263 LA Primary

Addresses

Primary practice location

716 Village Rd Ste a
Kenner, LA 70065-2751

Mailing address

224 Bayou Gentilly LN
Kenner, LA 70065-6628
Phone (504) 453-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127002384 LA Practitioner - Nurse Practitioner 3173880325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15782 Professional PLZ
Hammond, LA 70403-1451
Phone (985) 277-1415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
David Creger LLC CurrentSince Sep 12, 2017 Accepting new patients
Oceans Rog LLC Psychiatric/Mental Health PastSince Dec 22, 2020 Accepting new patients
Oceans Behavioral Hospital of Greater New Orleans LLC Past Accepting new patients

Locations

15782 Professional Plz
Hammond, LA 70403
Phone (985) 277-1415

716 Village Rd
Ste A
Kenner, LA 70065
Phone (504) 464-8895

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1023533502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BAYOU GENTILLY LN",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656628",
            "telephone_number": "504-453-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 VILLAGE RD STE A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652751",
            "telephone_number": "504-464-8895",
            "fax_number": "504-464-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.