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Active NPI 1447966213 Individual Practitioner Female Practitioner

Kelsy Reid Hacker , PA-C

Physician Assistant • Boise, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kelsy Hacker, PA-C is a certified Physician Assistant practicing in Boise, ID. With approximately 4 years of clinical experience since graduating from Baylor College Of Medicine in 2022, Kelsy Hacker delivers high-quality medical care to the local community at 1072 N LIBERTY ST STE 201.

Kelsy Hacker is affiliated with Saint Alphonsus Regional Medical Center Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include diagnostic examination of the anus using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1072 N Liberty St Ste 201

Boise, ID 837048708

Telephone 2083022400
Fax 2083022455
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boise, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
364 Specialists

Practicing in Boise, ID (1261 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
45.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hacker (4 Years) 4 Yrs
Boise Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope
32 30 $76.00 $31.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 21 $115.00 $76.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 13 $216.00 $112.27

Medical Specialties & State Licenses

CMS Verified: 2025-01-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-2449

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Saint Alphonsus Regional Medical Center Inc

3025 W Cherry Ln, Meridian, ID 836428531

Saint Alphonsus Regional Medical Center Inc

1072 N Liberty St, Boise, ID 837048708

Saint Alphonsus Regional Medical Center Inc

1055 N Curtis, Boise, ID 837061309

Saint Alphonsus Regional Medical Center Inc

1055 N Curtis Rd, Boise, ID 837061309

Phone: 2083672121

Secondary Practice Locations

3063 S Canonero Way

Boise, ID 837093873

Phone: 2085145223

Practice Associates & Co-Workers

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

8 Associated Practitioners
Shannon Burke , PA-C

Physician Assistant

NPI 1043943442

Physician Assistant (Certified)

Anthony Dinallo

Colon & Rectal Surgery

NPI 1205193760
Melissa West

Physician Assistant

NPI 1215660477
Dr. Johnny Green , MD

Colon & Rectal Surgery

NPI 1386612414

Doctor of Medicine (M.D.)

Jennifer Ristow , PA-C

Physician Assistant

NPI 1477208791

Physician Assistant (Certified)

Dr. Sheev Dattani , MD

Colon & Rectal Surgery

NPI 1760903363

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated January 28, 2025

Recorded as KELSY HACKER, PA-C

📍
Updated Practice Location April 18, 2023

Registered at 1072 N LIBERTY ST STE 201, BOISE, ID 837048708 (Tel: 2083022400)

📍
Updated Business Mailing Address April 18, 2023

Registered at 3340 E GOLDSTONE DR, MERIDIAN, ID 836421026 (Tel: 2083675170)

NPI Profile Active January 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2023

Registered at 3063 S CANONERO WAY, BOISE, ID 837093873 (Tel: 2085145223)

📍
Updated Business Mailing Address January 25, 2023

Registered at 3063 S CANONERO WAY, BOISE, ID 837093873 (Tel: 2085145223)

👤
Provider Name / Credentials Updated January 25, 2023

Recorded as KELSY PATRICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2023

Physician Assistant (License #PA-2449 in ID)

🟢
Initial NPI Registration & Enumeration January 25, 2023

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: 1447966213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2023
Last Update: January 28, 2025
Sole Proprietor: Yes

Mailing Address

3340 E Goldstone Dr

Meridian, ID 836421026

Phone: 2083675170

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.