KELSEY HACKETT (APRN, CNP) – Nurse Practitioner, NPI 1336715895
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for KELSEY HACKETT (APRN, CNP)
740 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
Phone: (208) 542-9111
Type: Mailing
1441 Parkway Dr
Blackfoot, ID 832211667
Phone: (208) 785-2600
Type: Location
1500 E VENTURE WAY APT 7103
POCATELLO, ID 832011207
Phone:
Type: Mailing
777 HOSPITAL WAY
POCATELLO, ID 83201
Phone: (208) 239-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220308001935 | I | Nurse Practitioner | IL | TBD |
| I20221028002087 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 189 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 93 | $0 |
| 81003 | Automated urinalysis test | 60 | 59 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 53 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 83401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Nurse Practitioner | ID | |
| Family Practice, Osteopathic Manipulative Medicine, General Practice | CO | |
| Family Practice | ID | |
| - | ID | |
| - | ID | |
| Family Practice | WA | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID |
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