DESIREE CREEKMORE
NPI 1639748890
Nurse Practitioner in Coeur D Alene, ID

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-6754 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Mar 25, 2025, Apr 25, 2024 and 1 more (4 updates tracked since 2021).

About Desiree Creekmore NPPES

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

DESIREE CREEKMORE (NPI 1639748890) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (71988) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639748890
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDESIREE CREEKMORE
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2021
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1639748890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ID · 71988
Definition
(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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP61145770 (WA), 71988 (ID)
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Desiree Creekmore 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 ID9032513692
PECOS Enrollment IDI20220629003347
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Shoshone Medical Center

Critical Access Hospitals · Kellogg, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131314
Location25 Jacobs Gulch RoadKellogg, ID 83837 · Shoshone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers38 claims38 services$19.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Creekmore's NPI number?

The NPI number for Desiree Creekmore is 1639748890. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Desiree Creekmore located?

Desiree Creekmore practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6754.

What is Desiree Creekmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Desiree Creekmore enrolled in Medicare?

Yes. Desiree Creekmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Desiree Creekmore accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Desiree Creekmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Desiree Creekmore affiliated with any hospitals?

According to CMS data, Desiree Creekmore is affiliated with Kootenai Health, Northwest Specialty Hospital and Shoshone Medical Center.

When was this NPI record last updated?

The NPPES record for Desiree Creekmore was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.