Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob L Creevan, PA-C

Individual provider Physician Assistant · NPI 1073247748

Jacob L Creevan, PA-C is a Physician Assistant in Lincoln, Nebraska. Qualified in 2022, 4 years ago. Practices with Nebraska Urology PC, a 21-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
4
Licensed in
NE
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone: (402) 489-8888
Fax: (402) 421-1945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2777 (NE)

Record details

NPI number1073247748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nebraska Urology Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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