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

Q: 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.

Q: What is Ashley Creedy's specialty?

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

Q: 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.

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.