Kelsie Dee Creevan, APRN-FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

114836 Issued in NE

Practice address

116 E H St
Wymore, NE 68466-1702

Phone

(402) 645-3310

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcreevan156959@direct.nebraskamed.com

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.

• Beatrice Community Hospital & Health Center Inc

  dba BCHHC Professional Services

  • Emergency Medicine Physician
  • Beatrice, NE
  • NPI 1922111855
  Medicare reassignment NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1912683228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39646 STATE HIGHWAY 112",
            "city": "WYMORE",
            "state": "NE",
            "postal_code": "684668028",
            "telephone_number": "402-806-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E H ST",
            "city": "WYMORE",
            "state": "NE",
            "postal_code": "684661702",
            "telephone_number": "402-645-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEVAN",
        "first_name": "KELSIE",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "114836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Barnard
• Beatrice Community Hospital & Health Center Inc (Wymore Medical Clinic)
• Deelynne Gayle Bednar, LMHP
• Alice Jane Bryan
• City of Wymore (Wymore EMS)
• Lisa Lynne Decker, APRN-NP
• Donald Lee Harmon, P.A.
• Hope-Wymore Inc
• Nevauh Marie Livingston
• Rylee Jane Meints

• Primary Care Nurse Practitioner in Wymore, NE
• Providers in Wymore, NE by specialty
• Primary Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.