DESIREE CREEKMORE – Nurse Practitioner, NPI 1639748890

DESIREE CREEKMORE is a healthcare provider. based in Liberty lake, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP61145770 (WA). The NPI Number for DESIREE CREEKMORE is 1639748890

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DESIREE CREEKMORE
NPI
1639748890
Phone
Not provided
Address
22820 E APPLEWAY AVE STE C
Enumeration Date
22 June 2021
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
9032513692
Group Practice PAC ID
1355792276
Professional Enrollment ID
I20220629003347
Address ID
ID838146051CO2003XWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for DESIREE CREEKMORE

  • 22820 E APPLEWAY AVE STE C

    LIBERTY LAKE, WA 990195214

    Phone:

    Type: Mailing

  • 2003 KOOTENAI HEALTH WAY

    COEUR D ALENE, ID 838146051

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: CSL Behring ($37).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-29

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
I20220629003347INurse PractitionerIDTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5840$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4333$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 1355792276View full group profile
NameSpecialtyState
Orthopedic SurgeryID
Physician AssistantID
Surgical Oncology, Hematology/Oncology, General SurgeryWA
Pulmonary Disease, Critical Care (Intensivists)ID
Physician AssistantID
Undefined Non Physician Type (Specify)ID
Physician AssistantUT
Certified Nurse Midwife (Cnm)ID
Physician AssistantID
Internal MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to DESIREE CREEKMORE?
NPI 1639748890 is assigned to DESIREE CREEKMORE under the national enumeration system.
Is DESIREE CREEKMORE currently active in the NPI registry?
CMS-published data lists DESIREE CREEKMORE as an active registrant.
What does DESIREE CREEKMORE treat or focus on?
Patients typically see DESIREE CREEKMORE under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DESIREE CREEKMORE's primary listing?
We display Liberty Lake, Washington because that is what the record indicates for DESIREE CREEKMORE.
How can I contact DESIREE CREEKMORE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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