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

Jessie Creakbaum, PA

Individual provider Physician Assistant · NPI 1295107597

Jessie Creakbaum, PA is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2015, 11 years ago. Practices with Bayview Physician Services PC, a 310-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1168 First Colonial Rd Ste 201
Virginia Beach, VA 23454
Phone: (757) 481-1113
Fax: (757) 496-3822
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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 0110-005125 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0110005125 (VA)

Record details

NPI number1295107597
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2015
Last updated in NPPESJuly 9, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bayview Physician Services Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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