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

Danielle Hamill

Individual provider Physician Assistant · NPI 1679973119

Danielle Hamill is a Physician Assistant in Blackfoot, Idaho. Qualified in 2014, 12 years ago. Practices with Life Change Associates PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2014
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Practice location Address checks out

700 E Alice St
Blackfoot, ID 83221-4925
Phone: (208) 785-1200
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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-1188 (ID)

Record details

NPI number1679973119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2014
Last updated in NPPESSeptember 3, 2014
Mailing address700 E Alice St, Blackfoot, ID 83221-4925

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Life Change Associates Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Blackfoot