Individual provider Active NPI

Bobi Jo Creel, CRNP

  • Acute Care Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1174866545
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-105585 Issued in AL
Practice address
1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689
Phone
(256) 737-8000
Fax
(256) 737-8058
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-105585 AL Primary

Addresses

Primary practice location

1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689

Mailing address

1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689
Phone (256) 737-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130726000506 AL Practitioner - Nurse Practitioner 3072754431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cullman Internal Medicine, PCGroup PAC ID 2365354339, 28 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Cullman, AL 35058-0689
Phone (256) 737-2100

Hospital & facility affiliations

  • Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
  • Cullman Regional Home Care Home health agency, Cullman, AL, CCN 017089
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Internal Medicine, PC CurrentSince Jun 9, 2013 Accepting new patients

Locations

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1174866545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEL",
        "first_name": "BOBI",
        "middle_name": "JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-105585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.