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MR. WALTER CARL CREDLE IV PA
NPI 1598363541
Physician Assistant in Boone, NC

Active since October 13, 2020
400 SHADOWLINE DR STE 204, BOONE, NC 28607(704) 237-4240(877) 847-0561 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2021, Oct 13, 2020 (2 updates tracked since 2020).

About Mr. Walter Carl Credle Iv Pa NPPES

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

MR. WALTER CARL CREDLE IV PA (NPI 1598363541) is an individual physician assistant in Boone, North Carolina, licensed in North Carolina (0010-10976) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1598363541
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WALTER CARL CREDLE IVCredential: PA
Location Address400 SHADOWLINE DR STE 204Boone, NC 28607-5022
Mailing Address400 Shadowline Dr Ste 204Boone, NC 28607-5022 · (828) 202-9765 · Fax (877) 847-0561
Phone(704) 237-4240
Fax(877) 847-0561
Sole ProprietorNo
Enumeration DateOctober 13, 2020
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1598363541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-10976
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 SHADOWLINE DR STE 204, Boone, NC 28607
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Other Providers at the Same Location NPPES

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

DOGWOOD PSYCHIATRY PLLC
Psychiatry & Neurology (Psychiatry)
400 SHADOWLINE DR STE 204
BOONE, NC 28607
Watauga County (828) 202-9765

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 Walter Credle's NPI number?

The NPI number for Walter Credle is 1598363541. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Walter Credle located?

Walter Credle practices at 400 Shadowline Dr Ste 204, Boone, NC 28607. The listed phone number is (704) 237-4240.

What is Walter Credle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Walter Credle was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.