Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Creedon, NP-C

Individual provider Nurse Practitioner · NPI 1063951952

Kevin Creedon, NP-C is a Nurse Practitioner in Perrysburg, Ohio. Qualified in 2016, 10 years ago. Practices with Promedica Northwest Ohio Cardiology Consultants LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1601 Brigham Dr Ste 150
Perrysburg, OH 43551-7120
Phone: (419) 794-7700
Fax: (419) 794-7715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.020424 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence RN.365677 (OH)

Record details

NPI number1063951952
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Promedica Northwest Ohio Cardiology Consultants Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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