DR. JEREMY WAYNE CREEKMORE DNP, APRN, PMHNP-BC
NPI 1194164293
Nurse Practitioner - Psychiatric/Mental Health in Aiea, HI

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment

98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701(808) 675-8888(808) 999-7610 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2025, Dec 12, 2024, Oct 3, 2024 and 4 more (7 updates tracked since 2019).

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy Wayne Creekmore Dnp, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jeremy Creekmore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jeremy Creekmore, LLC

Same address

Psychiatric/Mental Health

98-1247 KAAHUMANU ST STE 106
Aiea, HI 96701

Reassigned Medicare billing, Hawaii and Nevada enrollments
4 clinicians in this Medicare group

NPI 1881212348 (808) 675-8888

Behavioral Health Solutions LLC

2,763 mi

Internal Medicine

2831 SAINT ROSE PKWY STE 221
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
157 clinicians in this Medicare group

NPI 1902412802 (702) 589-4871

1st Clark County Medical Clinic LLC

2,764 mi

General Practice

4570 S EASTERN AVE STE 26
Las Vegas, NV 89119

Reassigned Medicare billing, Nevada enrollment
6 clinicians in this Medicare group

NPI 1154022523 (702) 476-3345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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