Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285683581 Individual Practitioner Female Practitioner

Jennifer Ann Hackwith , NP

Nurse Practitioner • Boise, ID

Professional Overview & Biography Verified Profile Summary

Jennifer Hackwith, NP is a registered healthcare professional specializing in Nurse Practitioner in Boise, ID. Practice services are available at 500 W FORT ST # 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 W Fort St # 111

Boise, ID 837024501

Telephone 2084221000
Fax 2084221319
Associated Practice Facility / Clinic
🏢 Boise Vamc Facility NPI 1841258985

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
173 Specialists

Practicing in Boise, ID (602 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NV APN000808

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
307861 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Bernotski , RDH

Dental Hygienist

NPI 1003295999

Registered Dental Hygienist

Dr. Luke Hansen , MD

Psychiatry & Neurology - Psychiatry

NPI 1003521253

Doctor of Medicine (M.D.)

Christopher Gutierrez

Registered Nurse - Gastroenterology

NPI 1003559683
Dr. Michael Glover , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1013235423

Doctor of Medicine (M.D.)

Dr. Ann Trotter , PhD

Psychologist - Clinical

NPI 1013494442

Doctor of Philosophy (Ph.D.)

NPI 1013516293

RNBC, Bachelor of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated February 25, 2022

Recorded as JENNIFER HACKWITH, NP

📍
Updated Practice Location December 17, 2021

Registered at 500 W FORT ST # 111, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Business Mailing Address December 17, 2021

Registered at 500 W FORT ST # 111, BOISE, ID 837024501 (Tel: 2084221000)

NPI Profile Active April 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2008

Registered at 3196 S MARYLAND PKWY, SUITE 101, LAS VEGAS, NV 891092305 (Tel: 7027318099)

📍
Updated Business Mailing Address April 16, 2008

Registered at 3186 S MARYLAND PKWY, LAS VEGAS, NV 891092317 (Tel: 7027318099)

👤
Provider Name / Credentials Updated April 16, 2008

Recorded as JENNIFER HACKWITH, APN-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2008

Nurse Practitioner (License #APN000808 in NV)

🟢
Initial NPI Registration & Enumeration May 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285683581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2006
Last Update: February 25, 2022
Sole Proprietor: No

Mailing Address

500 W Fort St # 111

Boise, ID 837024501

Phone: 2084221000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.