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Active NPI 1366184053 Individual Practitioner Female Practitioner

Crea Rose

Nurse Practitioner • Salem, IL

Professional Overview & Biography Verified Profile Summary

Crea Rose is a certified Nurse Practitioner practicing in Salem, IL. With approximately 4 years of clinical experience since completing medical education in 2022, Crea Rose delivers high-quality medical care to the local community at 207 E MAIN ST.

Crea Rose is affiliated with Revival Health And Wellness Clinic and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 E Main St

Salem, IL 628812926

Telephone 6187402240
Fax 6187402241
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Salem, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -14.8 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Salem, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rose (4 Years) 4 Yrs
Salem Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
138 48 $299.00 $72.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
79 38 $299.00 $103.26
36415 Insertion of needle into vein for collection of blood sample
66 36 $10.00 $8.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
46 28 $50.00 $13.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $299.00 $132.22

Medical Specialties & State Licenses

CMS Verified: 2026-04-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.025104

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Revival Health And Wellness Clinic

207 E Main St, Salem, IL 628812926

Phone: 6187402240

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Christina Weibley , FNP-C, FPA

Nurse Practitioner - Family

NPI 1043941123

Family Nurse Practitioner (Certified), FPA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 19, 2026

Registered at 207 E MAIN ST, SALEM, IL 628812926 (Tel: 6187402240)

📍
Updated Business Mailing Address April 19, 2026

Registered at 207 E MAIN ST, SALEM, IL 628812926 (Tel: 6187402240)

📍
Updated Practice Location November 23, 2022

Registered at 126 N HOTZE RD, SALEM, IL 628815237 (Tel: 6184954241)

NPI Profile Active April 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2022

Registered at 936 M L KING DR, CENTRALIA, IL 628013058 (Tel: 6185326439)

📍
Updated Business Mailing Address April 12, 2022

Registered at 1307 E MCCORD ST, CENTRALIA, IL 628013610 (Tel: 6188999200)

👤
Provider Name / Credentials Updated April 12, 2022

Recorded as CREA ROSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2022

Nurse Practitioner (License #209.025104 in IL)

🟢
Initial NPI Registration & Enumeration April 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366184053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2022
Last Update: April 19, 2026
Sole Proprietor: No

Mailing Address

207 E Main St

Salem, IL 628812926

Phone: 6187402240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.