P Praxis·MD
● Active Type 1 · Individual

Kristine Marie Hackett, WHNP

Nurse Practitioner·Mountain Home Afb, ID· NPI 1770579328 · Enumerated 2005 · 20 years on NPI
Hackett is 1 of 4 nurse practitioner providers in Mountain Home Afb and 1 of 56 in Idaho.
NPI age
20 years
Enumerated 2005-09-20
Primary specialty
Nurse Practitioner
Licensed in
OH
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-06-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
90 Hope Dr, 366th Mdg/surgical Operations Squadron
Mountain Home Afb, ID 836481057
📞 2088287534
Mailing address
90 Hope Drive, 366th Surgical Operations Squadron
Mountain Home Afb, ID 83648
📞 2088287534

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    OH license #RN-292179 taxonomy 363LW0102X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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