KEVIN CREEDON (NP-C) – Nurse Practitioner, NPI 1063951952

KEVIN CREEDON (NP-C) is a healthcare provider. based in Toledo, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN.365677 (OH). The NPI Number for KEVIN CREEDON (NP-C) is 1063951952

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CREEDON (NP-C)
NPI
1063951952
Phone
(419) 794-7700
Address
333 N SUMMIT ST FL 7
Enumeration Date
13 February 2017
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197947700
Graduation Year
2016 (10 years ago)
PAC ID
2163707670
Group Practice PAC ID
4981752938
Professional Enrollment ID
I20170324001313
Address ID
OH435371877MA5705XRDXX302

Contacts

Secure Messaging
kcreedon108643@epicdirect.promedica.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:9State licenses:2Other names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170324001313INurse PractitionerOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8575$0
99214Established patient office or other outpatient visit, 30-39 minutes8463$0
99212Established patient office or other outpatient visit, 10-19 minutes2626$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2424$0
99215Established patient office or other outpatient visit, 40-54 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 43604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981752938View full group profile
NameSpecialtyState
Physician AssistantMI
-OH
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyMI
Nurse PractitionerOH
Cardiac ElectrophysiologyIA
-OH
-MI
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What is KEVIN CREEDON (NP-C)'s NPI number?
KEVIN CREEDON (NP-C)'s NPI is 1063951952 — the number used across U.S. healthcare to identify this provider.
Is KEVIN CREEDON (NP-C) shown as active in public data?
Registry records indicate KEVIN CREEDON (NP-C) maintains an active NPI.
What kind of doctor is KEVIN CREEDON (NP-C)?
KEVIN CREEDON (NP-C) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KEVIN CREEDON (NP-C) associated with Toledo?
Public fields place KEVIN CREEDON (NP-C) around Toledo, Ohio. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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