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

Wiley Smart McCreedy, PA

Individual provider Physician Assistant · NPI 1134601180

Wiley Smart McCreedy, PA is a Physician Assistant in Durango, Colorado. Qualified in 2018, 8 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Mercado St Ste 202
Durango, CO 81301-7307
Phone: (970) 764-9400
Fax: (970) 764-9449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19250 Sw 65th Ave Ste 260, Tualatin, OR 97062-7747 — (150) 388-5884

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006628 (CO)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1134601180
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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