Individual provider Active NPI

Lisa Marie Creel, FNP-BC

  • Family Nurse Practitioner
  • Jenkinsville, SC
National Provider Identifier
1164058681
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23780 Issued in SC
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

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827000231 SC Practitioner - Nurse Practitioner 5395162051 Reassigns benefits to 2 organizations

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
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

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

LicenseStateTypeSpecialty
23780SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Mar 16, 2020 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Mar 16, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.