Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598363541 Individual Practitioner Male Practitioner

Walter Carl Credle , PA

Physician Assistant • Boone, NC

Professional Overview & Biography Verified Profile Summary

Walter Credle, PA is a registered healthcare professional specializing in Physician Assistant in Boone, NC. Practice services are available at 400 SHADOWLINE DR STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Shadowline Dr Ste 204

Boone, NC 286075022

Telephone 7042374240
Fax 8778470561
Associated Practice Facility / Clinic
🏢 Dogwood Psychiatry Pllc Facility NPI 1649131798

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boone, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Boone, NC (9374 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-10976

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Emorie Worthington , MSW

Social Worker - Clinical

NPI 1013697671

Master of Social Work

Katherine Roethling , LCSWA

Social Worker - Clinical

NPI 1023636578

Licensed Clinical Social Worker Associate

Amanda Bossert , CRC, LCMHCA

Counselor - Mental Health

NPI 1043002397

Certified Rehabilitation Counselor, LCMHCA

Madison Folstad

Social Worker - Clinical

NPI 1043048168
Madison Steigerwalt , PA-C

Physician Assistant

NPI 1043096530

Physician Assistant (Certified)

Heather Hightower , MSW

Social Worker - Clinical

NPI 1043957681

Master of Social Work

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 23, 2026

Registered at 400 SHADOWLINE DR STE 204, BOONE, NC 286075022 (Tel: 7042374240)

📍
Updated Business Mailing Address February 23, 2026

Registered at 400 SHADOWLINE DR STE 204, BOONE, NC 286075022 (Tel: 8282029765)

👤
Provider Name / Credentials Updated February 23, 2026

Recorded as WALTER CREDLE, PA

📍
Updated Practice Location March 17, 2021

Registered at 280 EXECUTIVE PARK DR STE 100, CONCORD, NC 280251838 (Tel: 7042374240)

📍
Updated Business Mailing Address March 17, 2021

Registered at 490 WAKE ROBIN LN, BOONE, NC 286076934

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2021

Physician Assistant (License #0010-10976 in NC)

NPI Profile Active October 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2020

Registered at 825 PARK CENTER DR APT 305, MATTHEWS, NC 281055044 (Tel: 7046077539)

📍
Updated Business Mailing Address October 13, 2020

Registered at 825 PARK CENTER DR APT 305, MATTHEWS, NC 281055044 (Tel: 7046077539)

👤
Provider Name / Credentials Updated October 13, 2020

Recorded as WALTER CREDLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598363541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2020
Last Update: February 23, 2026
Sole Proprietor: No

Mailing Address

400 Shadowline Dr Ste 204

Boone, NC 286075022

Phone: 8282029765

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.