LOGAN MAKAYLA HAWKER PA
NPI 1457133977
Physician Assistant - Medical in Boise, ID

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
1906 S VISTA AVE, BOISE, ID 83705(503) 554-2521 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Oct 18, 2023 (2 updates tracked since 2023).

About Logan Makayla Hawker Pa NPPES

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

LOGAN MAKAYLA HAWKER PA (NPI 1457133977) is an individual medical provider in Boise, Idaho and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457133977
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLOGAN MAKAYLA HAWKERCredential: PA
Location Address1906 S VISTA AVEBoise, ID 83705-3453
Mailing Address1066 S Silverstone Way Apt C230Meridian, ID 83642-1365 · (541) 212-3842
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2023
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1457133977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1906 S VISTA AVE, Boise, ID 83705

Other Names 1

Former Name (1)Logan Davila

Accepted 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

Logan Makayla Hawker Pa 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 ID8921525932
PECOS Enrollment IDI20250502002506
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.

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
1906 S VISTA AVE
BOISE, ID 83705
Dermatology
1906 S VISTA AVE
BOISE, ID 83705
Physician Assistant
1906 S VISTA AVE
BOISE, ID 83705
Dermatology
1906 S VISTA AVE
BOISE, ID 83705

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 Logan Hawker's NPI number?

The NPI number for Logan Hawker is 1457133977. It was assigned to this individual provider in the NPPES registry on October 18, 2023. The provider is also known as Logan Davila.

Where is Logan Hawker located?

Logan Hawker practices at 1906 S Vista Ave, Boise, ID 83705. The listed phone number is (503) 554-2521.

What is Logan Hawker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Logan Hawker enrolled in Medicare?

Yes. Logan Hawker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Logan Hawker accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Logan Hawker 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 Logan Hawker was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.