JEREMY CREEKMORE, LLC
NPI 1881212348
Nurse Practitioner - Psychiatric/Mental Health in Aiea, HI

Active since July 10, 2020
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701(808) 675-8888(808) 999-7610 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Jan 10, 2025, Dec 12, 2024 and 4 more (7 updates tracked since 2020).

About Jeremy Creekmore, Llc NPPES

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

JEREMY CREEKMORE, LLC (NPI 1881212348) is a healthcare organization registered as a psychiatric/mental health in Aiea, Hawaii and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Henderson and lists Jeremy Wayne Creekmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1881212348
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJEREMY CREEKMORE, LLC
Location Address98-1247 KAAHUMANU ST STE 106Aiea, HI 96701-5310
Mailing Address98-1247 Kaahumanu St Ste 106Aiea, HI 96701-5310 · (808) 678-8888
Fax(808) 999-7610
Organization SubpartNo
Authorized OfficialJeremy Wayne CreekmoreOwner · (808) 398-0537
Enumeration DateJuly 10, 2020
Last NPPES UpdateSeptember 2, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1881212348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
98-1247 KAAHUMANU ST STE 106, Aiea, HI 96701

Secondary Practice Location 1

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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Creekmore, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jeremy Creekmore, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1194164293
98-1247 KAAHUMANU ST STE 106
Aiea, HI 96701
(808) 675-8888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235807223
98-1247 KAAHUMANU ST
Aiea, HI 96701
(808) 221-1876
✔ PECOSSame address
Nurse Practitioner
NPI 1972120301
10618 RIVERSIDE DR
Powell, OH 43065
(614) 361-3505
✔ PECOS✔ Accepts Medicare4,504 mi
Nurse Practitioner
NPI 1144917790
42-16 162ND ST. 2ND FLOOR
New York, NY 11358
(718) 366-9540
✔ PECOS4,979 mi

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

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 Jeremy Creekmore, LLC's NPI number?

The NPI number for Jeremy Creekmore, LLC is 1881212348. It was assigned to this organization in the NPPES registry on July 10, 2020.

Where is Jeremy Creekmore, LLC located?

Jeremy Creekmore, LLC is located at 98-1247 Kaahumanu St Ste 106, Aiea, HI 96701. The listed phone number is (808) 675-8888.

What is Jeremy Creekmore, LLC's specialty?

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

Is Jeremy Creekmore, LLC enrolled in Medicare?

Yes. Jeremy Creekmore, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeremy Creekmore, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jeremy Creekmore, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jeremy Creekmore, LLC accept?

Health plans from HMSA list Jeremy Creekmore, LLC 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.

When was this NPI record last updated?

The NPPES record for Jeremy Creekmore, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.