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

Hannah Nicole Conn Negangard, PA-C

Individual provider Physician Assistant · NPI 1356863666

Hannah Nicole Conn Negangard, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Ohio.

Years since qualifying
9
Licensed in
ID, OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Idaho St
Boise, ID 83712-6267
Phone: (208) 381-2790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 914-1252
  • 520 S Eagle Rd, Meridian, ID 83642-6351 — (208) 914-1252

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1145461
Physician Assistant Taxonomy 363A00000X (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-1997 (ID)

Record details

NPI number1356863666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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