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

Kelsy Reid Hacker, PA-C

Individual provider Physician Assistant · NPI 1447966213

Kelsy Reid Hacker, PA-C is a Physician Assistant in Boise, Idaho. Graduated from Baylor College of Medicine in 2022, 4 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
4
Trained at
Baylor College of Medicine
Licensed in
ID
In the registry since
2023
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

1072 N Liberty St Ste 201
Boise, ID 83704-8708
Phone: (208) 302-2400
Fax: (208) 302-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3063 S Canonero Way, Boise, ID 83709-3873 — (208) 514-5223

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2449 (ID)

Record details

NPI number1447966213
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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