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JOEY KYLE CREEKBAUM III APRN, FNP-BC
NPI 1639802515
Nurse Practitioner - Family in Lexington, KY

Active since July 07, 2022PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
800 ROSE ST, LEXINGTON, KY 40536(859) 257-1000(859) 218-7658 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Jul 23, 2024, Jul 7, 2022 (3 updates tracked since 2022).

About Joey Kyle Creekbaum Iii Aprn, Fnp-bc NPPES

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

JOEY KYLE CREEKBAUM III APRN, FNP-BC (NPI 1639802515) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3017891) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1639802515
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOEY KYLE CREEKBAUM IIICredential: APRN, FNP-BC
Location Address800 ROSE STLexington, KY 40536-1714
Mailing Address413 Elm Street HtsVersailles, KY 40383-1172
Phone(859) 257-1000
Fax(859) 218-7658
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 7, 2022
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1639802515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3017891
800 ROSE ST, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Location 1

Location 12040 Harrodsburg Rd Ste 200Lexington, KY 40503-1714 · Phone (899) 799-3859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joey Kyle Creekbaum Iii Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456733922
PECOS Enrollment IDI20220729002299
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 Reassignments

4

Medicare enrollment records show Joey Creekbaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1518911338 (859) 323-5470
Healthsource Of Southeast Lexington Inc.
4.1 mi
Chiropractor
4101 TATES CREEK CENTRE DR, SUITE 132
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
NPI 1104081306 (859) 272-5460
Baptist Health Medical Group Inc
5.5 mi
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
NPI 1255805586 (859) 260-5370
Vip Community Health LLC
22 mi
Rural Health
503 HUMSTON DR
Lawrenceburg, KY 40342
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1457041980 (270) 543-7557

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services42 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. JEREMY WAYNE THACKER M.D.
Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Fayette County (859) 257-4457
DR. KIRK PHILLIP HEITMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Fayette County (859) 257-1446
HARISH RAM MD
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MS. YVONNE P RICE APRN NP-C
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1779
VANESSA D. SMITH MD
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6183
JASMINE HOWARD APRN
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
MITCHELL ALEXANDER MIGUEL M.D.
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6047
LEAH RAY YEAGER APRN
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536
Fayette County (859) 257-1223

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 Joey Creekbaum's NPI number?

The NPI number for Joey Creekbaum is 1639802515. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Joey Creekbaum located?

Joey Creekbaum practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 257-1000.

What is Joey Creekbaum's specialty?

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

Is Joey Creekbaum enrolled in Medicare?

Yes. Joey Creekbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joey Creekbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joey Creekbaum reassigns Medicare benefits to 4 organizations: University Of Kentucky (Lexington, KY), Healthsource Of Southeast Lexington Inc. (Lexington, KY), Baptist Health Medical Group Inc (Nicholasville, KY) and Vip Community Health LLC (Lawrenceburg, KY). Each 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 Joey Creekbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joey Creekbaum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Joey Creekbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joey Creekbaum affiliated with any hospitals?

According to CMS data, Joey Creekbaum is affiliated with University Of Kentucky Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Joey Creekbaum was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.