NPI age
19 years
Enumerated 2006-09-25
● Active
Type 1 · Individual
Nicole Lynn Ackley, PHYSICIAN ASSISTANT
Ackley is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
500 W Fort St
Boise, ID 837024501
Mailing address
1466 N Trail Creek Way
Eagle, ID 836164090
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.