CANDICE CREECY PA-C
NPI 1164922274
Physician Assistant - Medical in Rochester, MN

Q: What is Candice Creecy's NPI number?

The NPI number for Candice Creecy is 1164922274. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Q: What is Candice Creecy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Candice Creecy was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Oct 9, 2020, Jul 18, 2019 and 2 more (5 updates tracked since 2018).

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About Candice Creecy Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE CREECY PA-C (NPI 1164922274) is an individual medical provider in Rochester, Minnesota and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Faulkner Hospital-brigham And Women's, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1164922274

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCANDICE CREECYCredential: PA-C

Location Address200 1ST ST SWRochester, MN 55905-6761

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2023

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2019

Enumeration DateFebruary 15, 2018

Last NPPES UpdateApril 28, 20215 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1164922274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 11717 S J StTacoma, WA 98405-4933 · Phone (253) 426-4101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice Creecy Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739417700

PECOS Enrollment IDI20230117002414

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220119

Location1153 Centre StreetBoston, MA 02130 · Suffolk County

Emergency services

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LEASURE MD

Internal Medicine