NICOLE LYNN ACKLEY PHYSICIAN ASSISTANT
NPI 1265532337
Physician Assistant - Medical in Boise, ID

Active since September 25, 2006PECOS Enrolled
500 W FORT ST, BOISE, ID 83702(208) 422-1000(208) 422-1265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Lynn Ackley Physician Assistant NPPES

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

NICOLE LYNN ACKLEY PHYSICIAN ASSISTANT (NPI 1265532337) is an individual medical provider in Boise, Idaho and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265532337
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE LYNN ACKLEYCredential: PHYSICIAN ASSISTANT
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address1466 N Trail Creek WayEagle, ID 83616-4090
Fax(208) 422-1265
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265532337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
500 W FORT ST, Boise, ID 83702

Other Identifiers 1

Medicare UPINVAD000ID

Medicare Participation & PECOS Enrollment Status

Nicole Ackley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for NICOLE LYNN ACKLEY PHYSICIAN ASSISTANT

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist (Pharmacotherapy)
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Clinical Nurse Specialist (Critical Care Medicine)
500 W FORT ST
BOISE, ID 83702
Nurse Practitioner (Primary Care)
500 W FORT ST
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST, BOISE VAMC
BOISE, ID 83702
Pharmacist (Pharmacotherapy)
500 W FORT ST
BOISE, ID 83702
Audiologist
500 W FORT ST
BOISE, ID 83702
Clinical Neuropsychologist
500 W FORT ST, VA MEDICAL CENTER
BOISE, ID 83702
Dentist
500 W FORT ST
BOISE, ID 83702
Audiologist
500 W FORT ST
BOISE, ID 83702
Speech-Language Pathologist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Physician Assistant
500 W FORT ST
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265532337, enumerated as an "individual" on September 25, 2006.

The provider is located at 500 W FORT ST BOISE, ID 83702 and the phone number is (208) 422-1000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.