KEVIN CREEDON (NP-C) – Nurse Practitioner, NPI 1063951952
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for KEVIN CREEDON (NP-C)
North Summit Street, Saint Clair Street Historic District, Toledo, Lucas County, Ohio, 43604, United States
TOLEDO, OH 436041531
Phone: (419) 794-7700
Fax: (419) 794-7715
Type: Mailing
Monclova Road, Maumee, Lucas County, Ohio, 43537, United States
MAUMEE, OH 435371877
Phone: (419) 794-7700
Fax: (419) 794-7715
Type: Location
1601 BRIGHAM DR STE 150
PERRYSBURG, OH 435517120
Phone: (419) 794-7700
Fax: (419) 794-7715
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $886.
Total Amount is formed as General ($886) + Research ($0) + Ownership ($0) = $886.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($293).
Total Amount
$886
General + Research + Ownership
Payments
32
Total payment records
General Amount
$886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170324001313 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 63 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 26 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 24 | 24 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 43604)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | MI | |
| Nurse Practitioner | OH | |
| Cardiac Electrophysiology | IA | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | OH |
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