Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Wade Creasey, FNP-C

Individual provider Family Nurse Practitioner · NPI 1023048303

Mark Wade Creasey, FNP-C is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2023, 3 years ago. Practices with Ortho Express Holding Company, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2006
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6515 Poplar Ave Ste 106
Memphis, TN 38119-4878
Phone: (901) 426-1090
Fax: (901) 426-1091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 34775 (TN)

Record details

NPI number1023048303
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ortho Express Holding Company, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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