Active NPI
Hannah Shirley Creek, PA-C
- Physician Assistant
- Springfield, MO
National Provider Identifier
1922757079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2022010163
- Practice address
- 1536 E Primrose St
Springfield, MO 65804-7928 - Phone
- (417) 882-1818
- Fax
- (417) 882-1821
- NPI assigned
- Mar 23, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2022010163 | MO | Primary |
Addresses
Primary practice location
1536 E Primrose St
Springfield, MO 65804-7928
Mailing address
1530 E Primrose St Ste D
Springfield, MO 65804-7910
Phone (417) 882-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 E Primrose St
Suite D
Springfield, MO 65804-7910
Phone (417) 882-1818
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- hmolkenbur@dlderm.emadirect.md
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.
-
- Dermatology Physician
- Springfield, MO
- NPI 1427501394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1922757079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 E PRIMROSE ST STE D",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047910",
"telephone_number": "417-882-1818",
"fax_number": "417-882-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047928",
"telephone_number": "417-882-1818",
"fax_number": "417-882-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREEK",
"first_name": "HANNAH",
"middle_name": "SHIRLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2022010163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.