Jeremy Wayne Creekmore, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-2678 Issued in HI

Practice address

98-1247 Kaahumanu St Ste 106
Aiea, HI 96701-5310

Phone

(808) 675-8888

Fax

(808) 999-7610

NPI assigned

Jun 21, 2013

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: jeremy.creekmore.1@32039.direct.athenahealth.com
• Direct secure messaging: jeremy.creekmore@866342983172100.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeremy Creekmore, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aiea, HI
  • NPI 1881212348

  NV

  Medicare reassignment NPD Authorized official
• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258
  Medicare reassignment
• Keizer Kauka LLC

  • Psychiatry Physician
  • Pearl City, HI
  • NPI 1093390056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1194164293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 106",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015310",
            "telephone_number": "808-675-8888",
            "fax_number": "808-999-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 106",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015310",
            "telephone_number": "808-675-8888",
            "fax_number": "808-999-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 S Eastern Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523953",
            "country_code": "US",
            "telephone_number": "725-567-6440",
            "fax_number": "808-999-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEKMORE",
        "first_name": "JEREMY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-75611",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Coyle
• Craig Y. Hamasaki, M.D., LLC
• Jadyn Crane
• Veronica Theresa Crass, DPT
• Kelly Crawford
• Shameerah Crew
• Critical Nursing Services, Inc
• Denys Alejandra Cuellar
• Gina Culp
• Alyssa-Marie Cunningham

• Psychiatric/Mental Health Nurse Practitioner in Aiea, HI
• Providers in Aiea, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.