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

Logan Makayla Hawker, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457133977

Logan Makayla Hawker, PA is a Physician Assistant in Boise, Idaho. Qualified in 2024, 2 years ago. Practices with Idaho Skin Surgery Center PC, a 4-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boise, ID

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 811 Nw 12th St, Fruitland, ID 83619-2268 — (208) 452-7450

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457133977
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Idaho Skin Surgery Center Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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