JUSTIN CREEL M.D.
NPI 1346775095
Dermatology in Baton Rouge, LA
About Justin Creel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN CREEL M.D. (NPI 1346775095) is an individual dermatology provider in Baton Rouge, Louisiana, licensed in Louisiana (310524) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Creel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Justin Creel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 82 clinicians in this Medicare group
Zachary, LA 70791
- Reassigned Medicare billing, Louisiana enrollment
- 3 clinicians in this Medicare group
Zachary, LA 70791
- Reassigned Medicare billing, Louisiana enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 32
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Creel's NPI number?
The NPI number for Justin Creel is 1346775095. It was assigned to this individual provider in the NPPES registry on May 1, 2017.
Where is Justin Creel located?
Justin Creel practices at 5000 Hennessy Blvd, Baton Rouge, LA 70808. The listed phone number is (225) 756-6565.
What is Justin Creel's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Justin Creel enrolled in Medicare?
Yes. Justin Creel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Justin Creel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Creel reassigns Medicare benefits to 3 organizations: Capitol City Family Health Center, Incorporated (Baton Rouge, LA), Laurie H. Harrington, M.D,, LLC (Zachary, LA) and Southeast Community Health Systems (Zachary, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Creel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Creel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Justin Creel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Creel was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.