Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Ann Hackenberg, PA-C

Individual provider Physician Assistant · NPI 1326357070

Amber Ann Hackenberg, PA-C is a Physician Assistant in Eagle, Idaho. Qualified in 2010, 16 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
16
Licensed in
ID, OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

323 E Riverside Dr Ste 224
Eagle, ID 83616
Phone: (208) 302-6000
Fax: (208) 302-6055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-948 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA152970 (OR)

Record details

NPI number1326357070
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2010
Last updated in NPPESFebruary 15, 2018
Mailing address3340 E Goldstone Way, Meridian, ID 83642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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