Active NPI
Lisa Marie Creel, FNP-BC
- Family Nurse Practitioner
- Jenkinsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23780
- Practice address
- 9017 State Highway 215 S
Jenkinsville, SC 29065-9428 - Phone
- (803) 296-2068
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23780 | SC | Primary |
Addresses
Primary practice location
9017 State Highway 215 S
Jenkinsville, SC 29065-9428
Mailing address
214 Curvewood Rd
Columbia, SC 29229-7125
Phone (803) 360-8270
Other practice location 1
1298 Woodruff Rd
Greenville, SC 29607-5754
Phone (864) 236-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1298 Woodruff Rd
FL 4
Greenville, SC 29607-5754
Phone (864) 236-4700
9017 State Hwy 215 S
Jenkinsville, SC 29065-9428
Phone (803) 733-5969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23780 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center ,Inc. | Current | Accepting new patients | |
| Eau Claire Cooperative Health Center, Inc. | Current | Accepting new patients |
Locations
4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001
9017 State Highway 215 S
Jenkinsville, SC 29065
Phone (803) 296-2068
1136 Kincaid Bridge Rd
Winnsboro, SC 29180
Phone (803) 635-1052
Interoperability endpoints
- lisa.creel.1@10781.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1346249430
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1588375653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1164058681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CURVEWOOD RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297125",
"telephone_number": "803-360-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9017 STATE HIGHWAY 215 S",
"city": "JENKINSVILLE",
"state": "SC",
"postal_code": "290659428",
"telephone_number": "803-296-2068"
}
],
"practiceLocations": [
{
"address_1": "1298 Woodruff Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296075754",
"country_code": "US",
"telephone_number": "864-236-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREEL",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkinsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.