P Praxis·MD
● Active Type 1 · Individual

Jennifer C Creaser, ARNP

Nurse Practitioner·Lewiston, ID· NPI 1588772461 · Enumerated 2006 · 19 years on NPI
Creaser is 1 of 28 nurse practitioner providers in Lewiston and 1 of 658 in Idaho.
NPI age
19 years
Enumerated 2006-08-29
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
2841 Juniper Dr
Lewiston, ID 835014719
📞 2088489001fax 2088489002
Mailing address
Po Box 341
Lewiston, ID 835010341
📞 2088489001fax 2088489002

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #NP1021AWA license #AP30006968 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    WA license #AP30006968 taxonomy 363LP0808X

Identifiers

TypeValueNotes
05 (WI) 1014089
01 (ID) 1588772461 REGENCE BLUESHIELD
01 (ID) P00884066 RR MEDICARE
01 (ID) NP733 BC/ID
05 (WA) 1014089
01 (WA) 0270668 LABOR & INDUSTRIES
05 (ID) 1588772461
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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