Kevin Richard Kracke, PH.D.
NPI 1164416749ActiveIndividual· Psychologist· Lewiston, ID
Psychologist (PH.D.) with Dr Kracke and Associates P A, practicing in Lewiston, Idaho. Medicare paid $13,891 for services to 12 patients in 2024.
Overview
| NPI | 1164416749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Sep 9, 2005 |
| Last updated in NPPES | Mar 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY189 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 178 across 7 procedure codes |
| Paid by Medicare | $13,891 |
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Dr Kracke and Associates P ALewiston, ID · 3 clinicians
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