IVY CREEK ANESTHESIA
NPI 1467069070
Anesthesiology in Wetumpka, AL
About Ivy Creek Anesthesia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY CREEK ANESTHESIA (NPI 1467069070) is a healthcare organization registered as an anesthesiology in Wetumpka, Alabama and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Dadeville and lists Michael D Bruce, Ceo & Ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Anesthesia 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 Anesthesia, 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 1467069070. It was assigned to this organization in the NPPES registry on September 28, 2020. The provider is doing business as Ivy Creek Anesthesia.
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) 283-2542.
What is Ivy Creek Specialty Care's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
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 Anesthesia · NPI 1467069070
Anesthesiology organization in Wetumpka, Alabama. Organization record, active in the CMS NPPES registry since September 28, 2020.
## Identity
- **NPI:** 1467069070 (Entity type: Organization)
- **Enumerated:** September 28, 2020
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Legal business name:** Ivy Creek Specialty Care
- **Organization subpart:** No
- **Authorized official:** Michael Bruce, CEO & AO
## Practice location
- **Address:** 500 HOSPITAL DR, Wetumpka, AL 36092-1625
- **Phone:** (334) 283-2542 · **Fax:** (342) 832-3773
## 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/1467069070/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/1467069070) · Data from the CMS NPPES public registry.