JONATHAN CREE (MD) – Family Medicine Physician, NPI 1144213554

JONATHAN CREE (MD) is a healthcare provider. based in Pocatello, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M6974 (ID). The NPI Number for JONATHAN CREE (MD) is 1144213554

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN CREE (MD)
NPI
1144213554
Phone
(208) 282-4700
Address
POCATELLO (ISU) FAMILY MEDICINE
Enumeration Date
31 August 2005
Last Update Date
29 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20823278621122
Graduation Year
1973 (53 years ago)
PAC ID
5395896120
Group Practice PAC ID
4981500931
Professional Enrollment ID
I20090707000689
Address ID
ID832014008PO465XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

969 FAMILY PRACTICE in ID

Provider Addresses for JONATHAN CREE (MD)

  • POCATELLO (ISU) FAMILY MEDICINE

    465 MEMORIAL DRIVE

    POCATELLO, ID 832090001

    Phone: (208) 282-4700

    Fax: (208) 282-4696

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090707000689IFamily PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96127Assessment of emotional or behavioral problems1815$0
View full utilization report →

Insurance plans in this area (ZIP 83209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981500931View full group profile
NameSpecialtyState
Physician AssistantID
Family Practice, Osteopathic Manipulative MedicineID
Family PracticeID
Physician AssistantAZ
Nurse PractitionerID
Family PracticeID
Family PracticeID
Family PracticeID
Family PracticeID
Clinical Social WorkerID

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN CREE (MD)?
The federal identifier for JONATHAN CREE (MD) is NPI 1144213554.
Is JONATHAN CREE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JONATHAN CREE (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for JONATHAN CREE (MD). Clinical services aligned with this taxonomy classification.
Where is JONATHAN CREE (MD)'s primary listing?
We display Pocatello, Idaho because that is what the record indicates for JONATHAN CREE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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