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ASHLEY NICOLE CREEDY
NPI 1619329034
Nurse Practitioner - Family in Liberty Lake, WA

Active since July 09, 2016PECOS Enrolled
2100 N WINROCK ST, LIBERTY LAKE, WA 99019(208) 697-1421 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ashley Nicole Creedy NPPES

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

ASHLEY NICOLE CREEDY (NPI 1619329034) is an individual family provider in Liberty Lake, Washington, licensed in Washington (AP60704623) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619329034
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY NICOLE CREEDY
Location Address2100 N WINROCK STLiberty Lake, WA 99019-5093
Mailing Address2100 N Winrock StLiberty Lake, WA 99019-5093 · (208) 697-1421
Phone(208) 697-1421
Sole ProprietorNo
Enumeration DateJuly 9, 2016
Last NPPES UpdateDecember 6, 2016
✔ NPI 1619329034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60704623
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN60311256 (WA)
2100 N WINROCK ST, Liberty Lake, WA 99019
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Other Names 1

Former Name (1)Ashley Nicole Kopelson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Nicole Creedy 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.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Creedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spokane Emergency Physicians, Ps
16 mi
Emergency Medicine
101 W. 8TH AVENUE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 66 clinicians in this Medicare group
NPI 1235147117 (509) 474-3131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ashley Creedy's NPI number?

The NPI number for Ashley Creedy is 1619329034. It was assigned to this individual provider in the NPPES registry on July 9, 2016. The provider is also known as Ashley Nicole Kopelson.

Where is Ashley Creedy located?

Ashley Creedy practices at 2100 N Winrock St, Liberty Lake, WA 99019. The listed phone number is (208) 697-1421.

What is Ashley Creedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Creedy enrolled in Medicare?

Yes. Ashley Creedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Creedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Creedy reassigns Medicare benefits to Spokane Emergency Physicians, Ps (Spokane, WA). The 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 Ashley Creedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Creedy was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.