IVY CREEK PALLIATIVE CARE, LLC
NPI 1639776420
Family Medicine - Hospice and Palliative Medicine in Wetumpka, AL

Active since October 05, 2020
525 HOSPITAL DR STE B, WETUMPKA, AL 36092(334) 567-5626 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ivy Creek Palliative Care, Llc NPPES

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

IVY CREEK PALLIATIVE CARE, LLC (NPI 1639776420) is a healthcare organization registered as a hospice and palliative medicine in Wetumpka, Alabama and active in the NPI registry since October 2020. The organization lists Michael D Bruce, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639776420
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameIVY CREEK PALLIATIVE CARE, LLC
Location Address525 HOSPITAL DR STE BWetumpka, AL 36092-1626
Mailing AddressPo Box 130Wetumpka, AL 36092-0003
Organization SubpartNo
Authorized OfficialMichael D BruceCeo · (334) 567-4311
Enumeration DateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
✔ NPI 1639776420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
525 HOSPITAL DR STE B, Wetumpka, AL 36092

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Palliative Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ivy Creek Palliative Care, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1386173060
4412 HOGAN RD
Deatsville, AL 36022
(334) 543-4851
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1811206386
1595 E MAIN ST
Prattville, AL 36066
(334) 361-7306
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1548238272
4371 NARROW LANE RD SUITE 100
Montgomery, AL 36116
(334) 613-3680
✔ PECOS✔ Accepts Medicare17 mi

Source: 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 Palliative Care, LLC's NPI number?

The NPI number for Ivy Creek Palliative Care, LLC is 1639776420. It was assigned to this organization in the NPPES registry on October 5, 2020.

Where is Ivy Creek Palliative Care, LLC located?

Ivy Creek Palliative Care, LLC is located at 525 Hospital Dr Ste B, Wetumpka, AL 36092. The listed phone number is (334) 567-5626.

What is Ivy Creek Palliative Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Ivy Creek Palliative Care, LLC enrolled in Medicare?

Yes. Ivy Creek Palliative Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivy Creek Palliative Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ivy Creek Palliative Care, LLC, in Family Practice and Nurse Practitioner. 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. 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 Palliative Care, LLC was last updated on October 5, 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.