MICHAEL CRESWELL
NPI 1376290874
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Q: What is Michael Creswell's NPI number?

The NPI number for Michael Creswell is 1376290874. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Q: What is Michael Creswell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Creswell was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 04, 2022PECOS Enrolled

3901 RAINBOW BLVD # MS 3016, KANSAS CITY, KS 66160(913) 588-3173 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Creswell NPPES

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

MICHAEL CRESWELL (NPI 1376290874) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376290874

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL CRESWELL

Location Address3901 RAINBOW BLVD # MS 3016Kansas City, KS 66160-8500

Mailing Address5418 Belinder RdFairway, KS 66205-2428 · (206) 619-6001

Phone(913) 588-3173

Sole ProprietorNo

Enumeration DateMarch 4, 2022

NPPES CertifiedMarch 4, 2022

✔ NPI 1376290874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 RAINBOW BLVD # MS 3016, Kansas City, KS 66160

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Creswell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

NATHAN HAROLD PETTIT III MD

Urology