MR. JAMISON LANE CREEKMORE
NPI 1871294215
Physician Assistant - Medical in Tooele, UT
About Mr. Jamison Lane Creekmore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAMISON LANE CREEKMORE (NPI 1871294215) is an individual medical provider in Tooele, Utah, licensed in Utah (14236708-1206) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Mountain West Medical Center, and is a graduate of University Of Utah School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 (PECOS)
Mr. Jamison Lane Creekmore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain West Medical Center
Acute Care Hospitals · Tooele, UTOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jamison Creekmore's NPI number?
The NPI number for Jamison Creekmore is 1871294215. It was assigned to this individual provider in the NPPES registry on March 13, 2023.
Where is Jamison Creekmore located?
Jamison Creekmore practices at 2376 N 400 E Ste 102, Tooele, UT 84074. The listed phone number is (435) 843-1225.
What is Jamison Creekmore's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jamison Creekmore enrolled in Medicare?
Yes. Jamison Creekmore is registered in the Medicare PECOS enrollment system.
What insurance does Jamison Creekmore accept?
Health plans from Select Health list Jamison 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 Jamison Creekmore affiliated with any hospitals?
According to CMS data, Jamison Creekmore is affiliated with Mountain West Medical Center.
When was this NPI record last updated?
The NPPES record for Jamison Creekmore was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Jamison Lane Creekmore · NPI 1871294215
Medical physician in Tooele, Utah. Individual provider, active in the CMS NPPES registry since March 13, 2023.
## Identity
- **NPI:** 1871294215 (Entity type: Individual)
- **Enumerated:** March 13, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 14236708-1206 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2376 N 400 E STE 102, Tooele, UT 84074-3413
- **Phone:** (435) 843-1225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Utah School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** September 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1871294215) · Data from the CMS NPPES public registry.