KELSEY HACKETT APRN, CNP
NPI 1336715895
Nurse Practitioner in Idaho Falls, ID

Q: What is Kelsey Hackett's NPI number?

The NPI number for Kelsey Hackett is 1336715895. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Kelsey Hackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Hackett was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment

740 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 542-9111 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Nov 21, 2025, Oct 10, 2025 and 7 more (10 updates tracked since 2021).

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About Kelsey Hackett Aprn, Cnp NPPES

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

KELSEY HACKETT APRN, CNP (NPI 1336715895) is an individual nurse practitioner in Idaho Falls, Idaho, licensed in Idaho (68266) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and maintains a secondary practice location in Blackfoot.

NPPES Registry Identity

NPI1336715895

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELSEY HACKETTCredential: APRN, CNP

Location Address740 S WOODRUFF AVEIdaho Falls, ID 83401-5285

Mailing Address740 S Woodruff AveIdaho Falls, ID 83401-5285 · (208) 542-9111

Phone(208) 542-9111

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 3, 2021

Last NPPES UpdateMarch 2, 202610 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1336715895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 68266

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

740 S WOODRUFF AVE, Idaho Falls, ID 83401

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Secondary Practice Location 1

Location 11441 Parkway DrBlackfoot, ID 83221-1667 · Phone (208) 785-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Hackett Aprn, Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749674794

PECOS Enrollment IDI20221028002087

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services27 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

20 services19 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

19 services18 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83401 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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