Stacy Marie Hackenmiller, FNP
NPI 1497623789ActiveIndividual· Nurse Practitioner· Boise, ID
Nurse Practitioner (FNP) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. Enrolled in Medicare as practitioner - nurse practitioner. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1497623789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 28, 2025 |
| Last updated in NPPES | Nov 17, 2025 |
| Certified by provider | Nov 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 447128 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 188 nurse practitioners in Boise · All nurse practitioners in Idaho