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CARLA M. CREEKMORE C.R.N.P
NPI 1922058643
Nurse Practitioner - Pediatrics in Louisville, KY

Active since May 11, 2006PECOS Enrolled
5211 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229(502) 966-3918(502) 969-3665 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2020, Aug 25, 2020 (2 updates tracked since 2020).

About Carla M. Creekmore C.r.n.p NPPES

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

CARLA M. CREEKMORE C.R.N.P (NPI 1922058643) is an individual pediatrics provider in Louisville, Kentucky, licensed in Maryland (R139268) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922058643
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCARLA M. CREEKMORECredential: C.R.N.P
Location Address5211 COMMERCE CROSSINGS DRLouisville, KY 40229-2183
Mailing Address500 Greene St, Children's Medical GroupCumberland, MD 21502-2755 · (301) 724-7616 · Fax (301) 724-4811
Phone(502) 966-3918
Fax(502) 969-3665
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1922058643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R139268
5211 COMMERCE CROSSINGS DR, Louisville, KY 40229
Open in Google Maps ↗

Other Names 1

Former Name (1)Carla M.c. Fritz C.r.n.p.

Other Identifiers 1

Medicaid409219800MD

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 (PECOS)

Carla M. Creekmore C.r.n.p 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 Carla Creekmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
15 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 40229 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.

Other Providers at the Same Location NPPES 5

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

TIFFANI PAYNE
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
DR. JOSEPH ALVIN CLAN JR. M.D.
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
DR. JAMES ANTHONY TAVELLI MD
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
DR. TAMMY KAYE SCHRODT M.D.
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
MOLLY FRANK STINNETT MD
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918

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 Carla Creekmore's NPI number?

The NPI number for Carla Creekmore is 1922058643. It was assigned to this individual provider in the NPPES registry on May 11, 2006. The provider is also known as Carla M.C. Fritz C.R.N.P..

Where is Carla Creekmore located?

Carla Creekmore practices at 5211 Commerce Crossings Dr, Louisville, KY 40229. The listed phone number is (502) 966-3918.

What is Carla Creekmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Carla Creekmore enrolled in Medicare?

Yes. Carla Creekmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carla Creekmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Creekmore reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). 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 Carla Creekmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Creekmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Carla Creekmore 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.

When was this NPI record last updated?

The NPPES record for Carla Creekmore was last updated on October 13, 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.