Stacy Marie Hackenmiller , FNP
Nurse Practitioner • Boise, ID
Professional Overview & Biography Verified Profile Summary
Stacy Hackenmiller, FNP is a certified Nurse Practitioner practicing in Boise, ID. With approximately 1 years of clinical experience since completing medical education in 2025, Stacy Hackenmiller delivers high-quality medical care to the local community at 100 E IDAHO ST STE 400.
Stacy Hackenmiller is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.
Practice Location & Contact Primary Location
100 E Idaho St Ste 400
Boise, ID 837126267
Medicare Profile & Education
Other
2025
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Boise, ID
Practicing in Boise, ID (602 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2025-11-17NUCC Taxonomy Code: 363L00000X
(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.
Hospital & Practice Group Affiliations
St Lukes Clinic-Treasure Valley Llc
100 E Idaho St, Boise, ID 837126267
St Lukes Clinic-Treasure Valley Llc
608 W Hays St, Boise, ID 837025511
Phone: 2083815970
St Lukes Clinic-Treasure Valley Llc
100 E Bannock St, Boise, ID 837126241
Phone: 2083812983
St Lukes Clinic-Treasure Valley Llc
9951 W St Lukes Dr, Nampa, ID 836877914
Phone: 2084676700
St Lukes Clinic-Treasure Valley Llc
190 E Bannock St, Boise, ID 837126241
Phone: 2083819384
St Lukes Clinic-Treasure Valley Llc
610 W Hays St, Boise, ID 837025511
Phone: 2083815970
Secondary Practice Locations
9951 W St Lukes Dr
Nampa, ID 836877914
Phone: 2084676700
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Obstetrics & Gynecology - Gynecologic Oncology
Doctor of Medicine (M.D.)
Registered Nurse
Obstetrics & Gynecology - Gynecologic Oncology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology - Gynecologic Oncology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 190 E BANNOCK ST, BOISE, ID 837126241
Nurse Practitioner (License #447128 in ID)
NPI status registered as active in NPPES database
Registered at 100 E IDAHO ST STE 400, BOISE, ID 837126267 (Tel: 2083814171)
Registered at 100 E IDAHO ST STE 400, BOISE, ID 837126267 (Tel: 2083814171)
Recorded as STACY HACKENMILLER, FNP
Obstetrics & Gynecology (License #4471288 in ID)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
190 E Bannock St
Boise, ID 837126241
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