IVY CREEK ER
NPI 1396342184
Emergency Medicine - Emergency Medical Services in Wetumpka, AL
About Ivy Creek Er NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY CREEK ER (NPI 1396342184) is a healthcare organization registered as an emergency medical services in Wetumpka, Alabama and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Dadeville and lists Michael D Bruce, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivy Creek Er is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Ivy Creek ER, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ivy Creek Specialty Care's NPI number?
The NPI number for Ivy Creek Specialty Care is 1396342184. It was assigned to this organization in the NPPES registry on October 5, 2020. The provider is doing business as Ivy Creek ER and Ivy Creek Anesthesia Lake Martin.
Where is Ivy Creek Specialty Care located?
Ivy Creek Specialty Care is located at 500 Hospital Dr, Wetumpka, AL 36092. The listed phone number is (334) 567-4311.
What is Ivy Creek Specialty Care's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Ivy Creek Specialty Care enrolled in Medicare?
Yes. Ivy Creek Specialty Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ivy Creek Specialty Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Ivy Creek Specialty Care. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (16), Emergency Medicine (3) and Family Practice (3). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ivy Creek Specialty Care was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ivy Creek Er · NPI 1396342184
Emergency Medical Services organization in Wetumpka, Alabama. Organization record, active in the CMS NPPES registry since October 5, 2020.
## Identity
- **NPI:** 1396342184 (Entity type: Organization)
- **Enumerated:** October 5, 2020
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **Legal business name:** Ivy Creek Specialty Care
- **Also known as:** IVY CREEK ANESTHESIA LAKE MARTIN (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Bruce, CEO
## Practice location
- **Address:** 500 HOSPITAL DR, Wetumpka, AL 36092-1625
- **Phone:** (334) 567-4311 · **Fax:** (334) 514-3686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (16), Emergency Medicine (3), Family Practice (3); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1396342184/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396342184) · Data from the CMS NPPES public registry.