MR. AERIC WYNN II CREEKMORE (FNP) – Family Nurse Practitioner, NPI 1144625732

MR. AERIC WYNN II CREEKMORE (FNP) is a healthcare provider. based in Holdenville, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 80829 (OK). The NPI Number for MR. AERIC WYNN II CREEKMORE (FNP) is 1144625732

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. AERIC WYNN II CREEKMORE (FNP)
NPI
1144625732
Phone
(405) 379-2150
Address
100 MCDOUGAL DR
Enumeration Date
26 October 2014
Last Update Date
26 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052240053
Graduation Year
2014 (12 years ago)
PAC ID
5890013445
Group Practice PAC ID
3375832157
Professional Enrollment ID
I20250327002024
Address ID
OK730185862CH411XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MR. AERIC WYNN II CREEKMORE (FNP)

  • 100 MCDOUGAL DR

    HOLDENVILLE, OK 748482822

    Phone: (405) 379-2150

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($225).

Total Amount

$521

General + Research + Ownership

Payments

27

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150413000467INurse PractitionerOKTBD
I20250327002024INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74848)

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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: 3375832157View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
Hospitalist, Internal Medicine, Internal MedicineTX
Nurse PractitionerOK
-KS
Clinical Social WorkerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What NPI should I save for MR. AERIC WYNN II CREEKMORE (FNP)?
Save NPI 1144625732 if you need a stable reference for MR. AERIC WYNN II CREEKMORE (FNP).
Is MR. AERIC WYNN II CREEKMORE (FNP) currently active in the NPI registry?
CMS-published data lists MR. AERIC WYNN II CREEKMORE (FNP) as an active registrant.
Can you summarize MR. AERIC WYNN II CREEKMORE (FNP)'s specialty in plain language?
Clinically, the directory lists MR. AERIC WYNN II CREEKMORE (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. AERIC WYNN II CREEKMORE (FNP)'s primary listing?
We display Holdenville, Oklahoma because that is what the record indicates for MR. AERIC WYNN II CREEKMORE (FNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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