Jennifer Collette Creaser (NPI# 1588772461, PAC ID# 6406853159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588772461 |
| PAC ID by PECOS | 6406853159 |
| Professional Enrollment ID | I20101213000679 |
| Full Name | Jennifer Collette Creaser |
| Organization Legal Name | TRI-STATE MEMORIAL HOSPITAL |
| Address |
415 6th St Lewiston ID 83501-2431 |
| Phone Number | 2087432511 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082502422 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 415 6th St, Lewiston, ID 83501-2431 | 2087432511 | TRI-STATE MEMORIAL HOSPITAL |
| 415 6th St, Lewiston, ID 83501-2431 | 5127303056 | HNI MEDICAL SERVICES OF IDAHO, LLC |
| Organization Legal Name | TRI-STATE MEMORIAL HOSPITAL |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Keith J Popovich | Pulmonary Disease | Tri-state Memorial Hospital | 1267 Belmont Way, Clarkston, WA 99403-2844 |
| Judith M Rooney | Clinical Social Worker | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Tyler L Anderson | Physician Assistant | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Richard L Zobell | Urology | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| William W Wheeler | General Surgery | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Claudia-denise Haivas | Nephrology | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Doris E Ziegeldorf | Nurse Practitioner | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Mark W Peterson | Diagnostic Radiology | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Celso Chavez | Family Medicine | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip | 83501-2431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle James Daly | Certified Registered Nurse Anesthetist (crna) | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| David B Souvenir | Infectious Disease | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| John W Ho | Interventional Radiology | 415 6th St, Lewiston, ID 83501-2431 | |
| Jane A Fore | Internal Medicine | Hni Hospitalists of Idaho LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Lori Beth Bennett-penn | Psychiatry | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Sarah L Rackers | Emergency Medicine | Hni Medical Services of Idaho, LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Matthew George Krahn | Certified Registered Nurse Anesthetist (crna) | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| William Westel Rowe | Interventional Cardiology | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Brett T Mumford | Family Medicine | Hni Medical Services of Idaho, LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Michael C Minick | Internal Medicine | Hni Hospitalists of Idaho LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
| Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
| Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
| Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
| Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
| Find all physicians in zip 83501 | |||
| City | LEWISTON |
| Zip Code | 83501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEWISTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Collette Creaser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.