Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Creekmore

Individual provider Acute Care Nurse Practitioner · NPI 1639748890

Desiree Creekmore is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2021, 5 years ago. Practices with Kootenai Health Inc, a 394-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
5
Licensed in
ID, WA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-6754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71988 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP61145770 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 71988 (ID)

Record details

NPI number1639748890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Coeur D Alene