● Active Type 1 · Individual

Logan Makayla Hawker, PA

Physician Assistant·Boise, ID· NPI 1457133977 · Enumerated 2023 · 2 years on NPI

Hawker is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.

NPI age

2 years

Enumerated 2023-10-18

Primary specialty

Physician Assistant

Plus 1 subspecialty

Licensed in

—

0 states

Status

Active

No deactivations on record

Last NPPES update

2025-02-26

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age

2 years

↓ 13 yr below median (15 yr)

State licenses

1 state

16% of peers hold multiple states

Subspecialties

In the 30% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-10Enumerated in NPPES

2023 2026

Where they practice

Practice location

1906 S Vista Ave

Boise, ID 837053453

📞 5035542521

Mailing address

1066 S Silverstone Way Apt C230

Meridian, ID 836421365

📞 5412123842

Additional practice locations

1 secondary location on file with NPPES.

Location 2

811 Nw 12th St

Fruitland, ID 836192268

📞 2084527450

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant

Physician Assistant Primary

Definition to come...

taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 4 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. See all →

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How to verify this provider

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.