STACY MARIE HACKENMILLER FNP
NPI 1497623789
Nurse Practitioner in Boise, ID

Active since October 28, 2025PECOS EnrolledAccepts Medicare Assignment
100 E IDAHO ST STE 400, BOISE, ID 83712(208) 381-4171(208) 381-4172 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Marie Hackenmiller Fnp NPPES

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

STACY MARIE HACKENMILLER FNP (NPI 1497623789) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (447128) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Nampa.

NPPES Registry Identity

NPI1497623789
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY MARIE HACKENMILLERCredential: FNP
Location Address100 E IDAHO ST STE 400Boise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 381-4172
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 28, 2025
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
NPI 1497623789 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 · 447128
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.

100 E IDAHO ST STE 400, Boise, ID 83712

Secondary Practice Location 1

Location 19951 W St Lukes DrNampa, ID 83687-7914 · Phone (208) 467-6700

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

Stacy Marie Hackenmiller Fnp 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 ID7618460395
PECOS Enrollment IDI20251202000946
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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 4

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

Physician Assistant
100 E IDAHO ST STE 400
BOISE, ID 83712
Obstetrics & Gynecology
100 E IDAHO ST STE 400
BOISE, ID 83712
Physician Assistant (Medical)
100 E IDAHO ST STE 400
BOISE, ID 83712
Obstetrics & Gynecology
100 E IDAHO ST STE 400
BOISE, ID 83712

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 Stacy Hackenmiller's NPI number?

The NPI number for Stacy Hackenmiller is 1497623789. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Stacy Hackenmiller located?

Stacy Hackenmiller practices at 100 E Idaho St Ste 400, Boise, ID 83712. The listed phone number is (208) 381-4171.

What is Stacy Hackenmiller's specialty?

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

Is Stacy Hackenmiller enrolled in Medicare?

Yes. Stacy Hackenmiller 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.

Is Stacy Hackenmiller affiliated with any hospitals?

According to CMS data, Stacy Hackenmiller is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Hackenmiller was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.