NPPES file of Aug 9, 2026

Sean P. Hackett, PA-C

Medical Physician Assistant · Fruitland, ID

Sean P. Hackett, PA-C is a medical physician assistant with a practice address in Fruitland, Idaho, and NPI 1881685642, issued on Nov 2, 2005. Check the license (Idaho PA-204, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881685642
Name
Sean P. Hackett
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License numbers
PA-204 ID
PA00575 OR
Self-reported in NPPES; status is on the state search
Practice location
1210 NW 16TH St, Fruitland, ID 83619
Phone
(208) 452-8600
Enumerated
Nov 2, 2005
Record last updated
Mar 16, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(208) 452-8601
Medicare enrollment
Enrolled (PECOS I20100524000793); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest medical physician assistant records → All 371 in Idaho → Look up another NPI →

Also registered at 1210 NW 16TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Roman Babij, MDSurgery Physician1205813847
  2. Clinton Baker, PA-CPhysician Assistant1861483562
  3. Leaanna Baker, AUDAudiologist1851039184
  4. Jared Bradford, PAMedical Physician Assistant1487290359
  5. Jesse Cobb, LCSWClinical Social Worker1083001630
  6. Ciera Daley, PA-CPhysician Assistant1548990799

Verify Sean P. Hackett in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PA-204    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. St Lukes Clinic-Treasure Valley LLCFruitland, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sean P. Hackett among 371 medical physician assistant records in Idaho

Sean P. Hackett, PA-C is one of 371 medical physician assistant records with a practice address in Idaho. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 94% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1997 · median 2011 among the 249 with a school on file
  • Record last updated2011 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 medical physician assistant records list a practice address in Fruitland

They are 9 of the 147 NPPES records with a practice address in Fruitland, and 371 medical physician assistant records in Idaho.

All 371 in Idaho → Every provider in Fruitland → Medical Physician Assistant nationwide →

The 8 medical physician assistant records with the nearest ZIP codes

  1. Jared Bradford, PAFruitland, ID 836191487290359
  2. Charles Brioschi, PAFruitland, ID 836191083086870
  3. Baylee Buckland, PA-CFruitland, ID 836191881321198
  4. Bradley Heninger, PA-CFruitland, ID 836191205103389
  5. Victor Ishida, P.A.Fruitland, ID 836191194894113
  6. Brett Johansen, PA-CFruitland, ID 836191982074696
  7. Crysta Kimes, PAFruitland, ID 836191184115735
  8. Kayla Nagy, PA-CFruitland, ID 836191215452586

Common questions

What is Sean P. Hackett, PA-C's NPI number?

Sean P. Hackett, PA-C's National Provider Identifier (NPI) is 1881685642, issued on Nov 2, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Sean P. Hackett, PA-C located?

The NPPES record lists a practice address at 1210 NW 16TH St, Fruitland, ID, 83619. Phone: (208) 452-8600. Providers update this record themselves, so call before visiting.

How can I verify Sean P. Hackett, PA-C's license?

NPPES lists Idaho license number PA-204, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.