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DR. PRISCILLA D. HERNANDEZ HACKER PH.D.
NPI 1063469203
Psychologist - Clinical in Moscow, ID

Active since May 30, 2006Opted out of Medicare · through Oct 1, 2027
828 S WASHINGTON ST STE A, MOSCOW, ID 83843(208) 883-7766(208) 883-8062 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Priscilla D. Hernandez Hacker Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRISCILLA D. HERNANDEZ HACKER PH.D. (NPI 1063469203) is an individual clinical provider in Moscow, Idaho, licensed in Idaho (PSY202196) and active in the NPI registry since May 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063469203
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PRISCILLA D. HERNANDEZ HACKERCredential: PH.D.
Location Address828 S WASHINGTON ST STE AMoscow, ID 83843-3055
Mailing Address828 S Washington St Ste AMoscow, ID 83843-3055 · (208) 883-7766 · Fax (208) 883-8062
Phone(208) 883-7766
Fax(208) 883-8062
Sole ProprietorYes
Enumeration DateMay 30, 2006
Last NPPES UpdateMay 20, 2024
NPPES CertifiedDecember 13, 2023
✔ NPI 1063469203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in ID · PSY202196✔ Licensed in WA · PY1696
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
828 S WASHINGTON ST STE A, Moscow, ID 83843
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Other Identifiers 2

Other000010149290ID · Regence Blue Shield Pin
Other380-319WA · Dshs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Priscilla D. Hernandez Hacker Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priscilla Hernandez Hacker's NPI number?

The NPI number for Priscilla Hernandez Hacker is 1063469203. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Priscilla Hernandez Hacker located?

Priscilla Hernandez Hacker practices at 828 S Washington St Ste A, Moscow, ID 83843. The listed phone number is (208) 883-7766.

What is Priscilla Hernandez Hacker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Priscilla Hernandez Hacker enrolled in Medicare?

No. Priscilla Hernandez Hacker has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Priscilla Hernandez Hacker accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Priscilla Hernandez Hacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Priscilla Hernandez Hacker was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.