| Jennifer C Creaser, ARNP | |
|
2841 Juniper Dr, Lewiston, ID 83501-4719 | |
| (208) 848-9001 | |
| (208) 848-9002 |
| Full Name | Jennifer C Creaser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 2841 Juniper Dr, Lewiston, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588772461 | NPI | - | NPPES |
| 1014089 | Medicaid | WI | |
| 1588772461 | Other | ID | REGENCE BLUESHIELD |
| P00884066 | Other | ID | RR MEDICARE |
| NP733 | Other | ID | BC/ID |
| 1014089 | Medicaid | WA | |
| 0270668 | Other | WA | LABOR & INDUSTRIES |
| 1588772461 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP1021A (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | AP30006968 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vannvei Llc | 1254743420 | 20 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040911000031 |
| Entity Name | Vannvei Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881200517 PECOS PAC ID: 1254743420 Enrollment ID: O20201211000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C Creaser, ARNP Po Box 341, Lewiston, ID 83501-0341 Ph: (208) 848-9001 | Jennifer C Creaser, ARNP 2841 Juniper Dr, Lewiston, ID 83501-4719 Ph: (208) 848-9001 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 | |
Ms. Leslie Corrine Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-263-9757 Fax: 208-965-8128 |