MARIE SHOCKLEY CREECH (PA) – Physician Assistant, NPI 1235192048

MARIE SHOCKLEY CREECH (PA) is a healthcare provider. based in Roanoke, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110-002202 (VA). The NPI Number for MARIE SHOCKLEY CREECH (PA) is 1235192048

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARIE SHOCKLEY CREECH (PA)
NPI
1235192048
Phone
Not provided
Address
1906 BELLEVIEW AVE
Enumeration Date
11 April 2006
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402245170
Graduation Year
2005 (21 years ago)
PAC ID
0042232597
Group Practice PAC ID
9830096585
Professional Enrollment ID
I20051227000305
Address ID
VA240164955RO3XXXXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

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Provider Addresses for MARIE SHOCKLEY CREECH (PA)

  • Belleview Avenue, Roanoke, Westport, Kansas City, Jackson County, Missouri, 64111, United States

    ROANOKE, VA 24014

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-09-24

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
I20051227000305IPhysician AssistantVATBD
I20210924000307IPhysician AssistantINTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes193101$0
90792Psychiatric diagnostic evaluation with medical services141138$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11882$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5142$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4838$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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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: 9830096585View full group profile

Reviews

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Frequently asked questions

How is MARIE SHOCKLEY CREECH (PA) identified in CMS data?
CMS-hosted NPPES data lists MARIE SHOCKLEY CREECH (PA) with NPI 1235192048.
Is MARIE SHOCKLEY CREECH (PA) listed as active for patients and plans?
The listing shows MARIE SHOCKLEY CREECH (PA) as active in the NPI system.
What taxonomy line describes MARIE SHOCKLEY CREECH (PA)?
For research purposes, treat MARIE SHOCKLEY CREECH (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does MARIE SHOCKLEY CREECH (PA) serve?
MARIE SHOCKLEY CREECH (PA)'s listing highlights Roanoke, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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