IVY CREEK OF ELMORE HOSPITALIST
NPI 1790093029
General Acute Care Hospital in Wetumpka, AL
About Ivy Creek Of Elmore Hospitalist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY CREEK OF ELMORE HOSPITALIST (NPI 1790093029) is a healthcare organization registered as a general acute care hospital in Wetumpka, Alabama and active in the NPI registry since September 2010. The organization lists Michael D Bruce, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivy Creek Of Elmore Hospitalist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
181Medicare enrollment records show 181 clinicians reassign Medicare billing to Ivy Creek Of Elmore Hospitalist, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 181Source: 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 Of Elmore LLC's NPI number?
The NPI number for Ivy Creek Of Elmore LLC is 1790093029. It was assigned to this organization in the NPPES registry on September 21, 2010. The provider is doing business as Ivy Creek Of Elmore Hospitalist.
Where is Ivy Creek Of Elmore LLC located?
Ivy Creek Of Elmore LLC is located at 500 Hospital Dr, Wetumpka, AL 36092. The listed phone number is (334) 567-4311.
What is Ivy Creek Of Elmore LLC's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Ivy Creek Of Elmore LLC enrolled in Medicare?
Yes. Ivy Creek Of Elmore LLC is registered in the Medicare PECOS enrollment system.
When is Ivy Creek Of Elmore LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ivy Creek Of Elmore LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 16 Medicare specialties reassign their Medicare billing to Ivy Creek Of Elmore LLC. 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. The largest specialties are Diagnostic Radiology (106), Family Practice (22) and Nurse Practitioner (17). Of these, 1 practice at this address and 8 within 10 miles. 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 Of Elmore LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ivy Creek Of Elmore Hospitalist · NPI 1790093029
General Acute Care Hospital organization in Wetumpka, Alabama. Organization record, active in the CMS NPPES registry since September 21, 2010.
## Identity
- **NPI:** 1790093029 (Entity type: Organization)
- **Enumerated:** September 21, 2010
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Legal business name:** Ivy Creek Of Elmore Llc
- **Organization subpart:** Yes (part of Ivy Creek Of Elmore Llc)
- **Authorized official:** Michael Bruce, CEO
## Practice location
- **Address:** 500 HOSPITAL DR, Wetumpka, AL 36092-1625
- **Phone:** (334) 567-4311 · **Fax:** (334) 567-4312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 181 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (106), Family Practice (22), Nurse Practitioner (17); 1 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1790093029/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
- **Other identifiers:** Other 01D0680545 (AL); Medicaid 122925 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790093029) · Data from the CMS NPPES public registry.