Kelsey Creel, FNP-BC

Key facts

NPI

1801540869

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

905074 (MS)

Practice address

9481 Cade LN
Bailey, MS 39320-9314

Phone

(601) 616-9825

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

Yes

Organizations & group practices 7

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.

• Wound Management Specialists, LLC Nurse Practitioner · Flowood, MS · NPI 1972150084
  Medicare reassignment Care Compare group NPD MS · NURSE PRACTITIONER
• Healthcare Plus Limited Liability Company Specialist · Metairie, LA · NPI 1063927465
  Medicare reassignment Care Compare group NPD MS · NURSE PRACTITIONER
• Wayne General Hospital Clinic/Center · Waynesboro, MS · NPI 1407233612
  Medicare reassignment NPD MS
• Wayne General Hospital Hospitalist Physician · Waynesboro, MS · NPI 1699589143
  NPD
• Wayne General Hospital Rural Health Clinic/Center · Waynesboro, MS · NPI 1285882662
  NPD (past)
• Wayne General Hospsital Interventional Cardiology Physician · Waynesboro, MS · NPI 1902021546
  NPD (past)
• Winston Medical Clinic LLC Rural Health Clinic/Center · Louisville, MS · NPI 1629417324
  NPD (past)

Hospital & facility affiliations 1

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

• Strategic Solutions-Panola Medical Center LLC Rural Acute Care Hospital · Batesville, MS · NPI 1053873307
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Management Specialists LLC (157 clinicians)
Healthcare Plus Limited Liability Company (120 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Panola Medical Center Hospital · Batesville, MS · CCN 250781

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 9, 2022.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1801540869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9481 CADE LN",
            "city": "BAILEY",
            "state": "MS",
            "postal_code": "393209314",
            "telephone_number": "601-616-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 CADE LN",
            "city": "BAILEY",
            "state": "MS",
            "postal_code": "393209314",
            "telephone_number": "601-616-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEL",
        "first_name": "KELSEY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bailey, MS · Nurse Practitioner in Mississippi