Kelsey Hackett, APRN, CNP - Medicare Nurse Practitioner in Blackfoot, ID

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Kelsey Hackett, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Blackfoot, Idaho. Her current practice location is 1441 Parkway Dr, Blackfoot, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 785-2600.

Kelsey Hackett is licensed to practice in Illinois (license number 209023854) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336715895.

Contact Information

Kelsey Hackett, APRN, CNP
1441 Parkway Dr,
Blackfoot, ID 83221-1667
(208) 785-2600
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Hackett
GenderFemale
SpecialityNurse Practitioner - Family
Location1441 Parkway Dr, Blackfoot, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336715895
  • Provider Enumeration Date: 06/03/2021
  • Last Update Date: 01/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0749674794
  • Enrollment ID: I20220308001935

Medical Identifiers

Medical identifiers for Kelsey Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336715895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 68266 (Idaho)Secondary
363LF0000XNurse Practitioner - Family 209023854 (Illinois)Primary
363L00000XNurse Practitioner 209023854 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Hackett allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Hackett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Hackett, APRN, CNP
875 S. Route 31,
Crystal Lake, IL 60014-8190

Ph: (779) 220-5500		Kelsey Hackett, APRN, CNP
1441 Parkway Dr,
Blackfoot, ID 83221-1667

Ph: (208) 785-2600

Reviews and Comments


Nurse Practitioner Nurses in Blackfoot, ID

Mr. Daniel Joseph Barney, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1495 Parkway Dr, Ste C, Blackfoot, ID 83221
Phone: 208-643-4231    Fax: 208-643-4235
Danielle E Bangerter, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2500    
Kay M Powell, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9 Airport Rd, Blackfoot, ID 83221
Phone: 208-782-3979    Fax: 208-782-3994
Hyrum Davenport, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
Douglas Gilbert, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
Miss Elizabeth H. Cameron, C.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1395 Nw Main St, Blackfoot, ID 83221
Phone: 208-785-0270    Fax: 208-785-0683

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.