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

Nadezhda Kravchuk, NP-C

Individual provider Family Nurse Practitioner · NPI 1033686076

Nadezhda Kravchuk, NP-C is a Nurse Practitioner in Nampa, Idaho. Qualified in 2018, 8 years ago. Practices with Mountain Pine Dermatology PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1150 N Sister Catherine Way
Nampa, ID 83687
Phone: (208) 302-7000
Fax: (208) 302-7055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 59965 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 59965 (ID)

Record details

NPI number1033686076
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedOctober 29, 2018
Last updated in NPPESAugust 12, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mountain Pine Dermatology Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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