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

Michael Edgar Creazzo, FNP

Individual provider Family Nurse Practitioner · NPI 1538046248

Michael Edgar Creazzo, FNP is a Nurse Practitioner in Bristol, Tennessee. Qualified in 2025, 1 year ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
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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 39440 (TN)

Record details

NPI number1538046248
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESOctober 11, 2025
Certification dateOctober 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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