DR. JEREMY WAYNE CREEKMORE DNP, APRN, PMHNP-BC - NPI 1194164293

Q: What is Jeremy Creekmore's NPI number?

The NPI number for Jeremy Creekmore is 1194164293. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Q: What is Jeremy Creekmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Creekmore was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jeremy Wayne Creekmore Dnp, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY WAYNE CREEKMORE DNP, APRN, PMHNP-BC (NPI 1194164293) is an individual psychiatric/mental health provider in Aiea, Hawaii, licensed in Hawaii (APRN-2678) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194164293

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. JEREMY WAYNE CREEKMORECredential: DNP, APRN, PMHNP-BC

Location Address98-1247 KAAHUMANU ST STE 106Aiea, HI 96701-5310

Mailing Address98-1247 Kaahumanu St Ste 106Aiea, HI 96701-5310 · (808) 675-8888 · Fax (808) 999-7610

Phone(808) 675-8888

Fax(808) 999-7610

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 21, 2013

Last NPPES UpdateJanuary 10, 20257 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1194164293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in HI · APRN-2678

Also ListedRegistered NurseTaxonomy 163W00000X · License RN-75611 (HI)

98-1247 KAAHUMANU ST STE 106, Aiea, HI 96701

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Secondary Practice Location 1

Location 110120 S Eastern Ave Ste 130Henderson, NV 89052-3953 · Phone (725) 567-6440 · Fax (808) 999-7610

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Wayne Creekmore Dnp, Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759890122

PECOS Enrollment IDI20251106000456

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAWAII PACIFIC DME INC

Durable Medical Equipment & Medical Supplies