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KRISTINE MARIE HACKETT WHNP
NPI 1770579328
Nurse Practitioner - Women's Health in Mountain Home Afb, ID

Active since September 20, 2005PECOS Enrolled
90 HOPE DR, 366TH MDG/SURGICAL OPERATIONS SQUADRON, MOUNTAIN HOME AFB, ID 83648(208) 828-7534 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristine Marie Hackett Whnp NPPES

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

KRISTINE MARIE HACKETT WHNP (NPI 1770579328) is an individual women's health provider in Mountain Home Afb, Idaho, licensed in Ohio (RN-292179) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770579328
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKRISTINE MARIE HACKETTCredential: WHNP
Location Address90 HOPE DR, 366TH MDG/SURGICAL OPERATIONS SQUADRONMountain Home Afb, ID 83648-1057
Mailing Address90 Hope Drive, 366th Surgical Operations SquadronMountain Home Afb, ID 83648 · (208) 828-7534
Phone(208) 828-7534
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJune 23, 2014
✔ NPI 1770579328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · RN-292179
90 HOPE DR, Mountain Home Afb, ID 83648
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINOTH000IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Marie Hackett Whnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83648 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 20

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

KIRSTY LYNN HOUSE IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR, 366TH MEDICAL GROUP
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-6806
JACQUELINE A SHAFER LCSW
Social Worker (Clinical)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7531
CASEY ELIZABETH LYNCH WHNP-BC
Nurse Practitioner (Women's Health)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-6806
MR. DENNIS JACOB REUTER IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (360) 304-2048
DR. NATHAN TUAEFU PALMER M.D.
Family Medicine
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (907) 903-9212
MR. STEVE A. NEFF MSW
Counselor
90 HOPE DR, 366 MEDGRP (ACC)/FAMILY ADVOCACY
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7520
DR. ERIC DOUGLAS NIELSEN O.D.
Optometrist
90 HOPE DR, OPTOMETRY CLINIC
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7250
DR. JENNIFER LYNN HUDSON D.O.
Obstetrics & Gynecology
90 HOPE DR, 366 MEDICAL GROUP, WOMEN'S HEALTH
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 282-7567

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 Kristine Hackett's NPI number?

The NPI number for Kristine Hackett is 1770579328. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Kristine Hackett located?

Kristine Hackett practices at 90 Hope Dr 366th Mdg/Surgical Operations Squadron, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7534.

What is Kristine Hackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kristine Hackett enrolled in Medicare?

Yes. Kristine Hackett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Hackett was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.