ADAM PACKER (NP) – Family Nurse Practitioner, NPI 1669858734

ADAM PACKER (NP) is a healthcare provider. based in Pocatello, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP-1611A (ID). The NPI Number for ADAM PACKER (NP) is 1669858734

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ADAM PACKER (NP)
NPI
1669858734
Phone
(208) 239-2065
Address
PO BOX 4168
Enumeration Date
30 July 2015
Last Update Date
24 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084787422
Graduation Year
2015 (11 years ago)
PAC ID
4385951037
Group Practice PAC ID
6709156904
Professional Enrollment ID
I20150914002010
Address ID
ID832014531PO495XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for ADAM PACKER (NP)

  • PO BOX 4168

    POCATELLO, ID 832054168

    Phone: (208) 239-2065

    Fax: (208) 239-3754

    Type: Mailing

  • 777 HOSPITAL WAY

    POCATELLO, ID 832015175

    Phone: (208) 239-1029

    Fax: (208) 239-3754

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Novo Nordisk Inc ($45).

Total Amount

$97

General + Research + Ownership

Payments

6

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150914002010INurse PractitionerIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes146133$0
99214Established patient office or other outpatient visit, 30-39 minutes7166$0
81003Automated urinalysis test5350$0
36415Insertion of needle into vein for collection of blood sample2725$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2725$0
View full utilization report →

Insurance plans in this area (ZIP 83205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709156904View full group profile
NameSpecialtyState
-ID
Physician AssistantID
-ID
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantID
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantID
Nurse PractitionerID

Reviews

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Frequently asked questions

Is ADAM PACKER (NP) listed with a National Provider Identifier?
Yes — ADAM PACKER (NP) has NPI 1669858734 on file in the registry.
Active or inactive — what applies to ADAM PACKER (NP)?
You should see ADAM PACKER (NP) as active in CMS-hosted NPPES data.
What kind of doctor is ADAM PACKER (NP)?
ADAM PACKER (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ADAM PACKER (NP)?
Travel planning: use Pocatello, Idaho as the reference point for ADAM PACKER (NP), then confirm.
Can I trust this NPI listing for ADAM PACKER (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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