Individual provider Active NPI

Shayla E Creasey

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1154181402
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0035710 Issued in OH
Practice address
3 Limited Pkwy FL 1
Columbus, OH 43230-1467
Phone
(614) 415-1200
NPI assigned
Mar 21, 2024
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0035710 OH Primary

Addresses

Primary practice location

3 Limited Pkwy FL 1
Columbus, OH 43230-1467

Mailing address

3 Limited Pkwy FL 1
Columbus, OH 43230-1467
Phone (614) 415-1200

Other practice location 1

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240906004060 OH Practitioner - Nurse Practitioner 4688114473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyhills Healthcare Services, LLCGroup PAC ID 8628354461, 7 clinicians

Practice addresses (Care Compare)

6760 Tussing Rd
Suite 104
Reynoldsburg, OH 43068-4136
Phone (614) 626-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035710OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical Oh Inc CurrentSince Jun 1, 2025 Accepting new patients
Holyhills Healthcare Services LLC CurrentSince Aug 11, 2024 Accepting new patients
At Your Door Visiting Healthcare Services, LLC CurrentSince Dec 1, 2024 Accepting new patients
Absolutecare of Ohio, LLC Past Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

6760 Tussing Rd
Ste 104
Reynoldsburg, OH 43068
Phone (614) 377-4592

1552 N Honeytown Rd
Wooster, OH 44691
Phone (216) 450-1643

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shayla.creasey.1@15909.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1154181402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIMITED PKWY FL 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301467",
            "telephone_number": "614-415-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LIMITED PKWY FL 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301467",
            "telephone_number": "614-415-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10553 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441081973",
            "country_code": "US",
            "telephone_number": "216-682-7702",
            "fax_number": "216-920-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREASEY",
        "first_name": "SHAYLA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0035710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.