Kevin Kracke, PH.D.
NPI 1164416749 · Psychologist · Lewiston, ID
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Kracke, PH.D. is a Psychologist provider in Lewiston, ID (NPI 1164416749).
Provider details
- NPI number
- 1164416749
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PSY189 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-09
- Last updated
- 2013-03-15
Frequently asked questions
- What is Kevin Kracke's NPI number?
- Kevin Kracke's National Provider Identifier (NPI) is 1164416749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Kracke's specialty?
- Kevin Kracke is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kevin Kracke located?
- Kevin Kracke's practice location on file with NPPES is 422 17th St, Lewiston, ID 83501-2526.
- What is Kevin Kracke's phone number?
- The practice phone number listed in the NPPES registry for Kevin Kracke is (208) 743-4680.
- Does Kevin Kracke accept Medicare?
- Kevin Kracke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Kracke's NPI active?
- Yes — Kevin Kracke's NPI (1164416749) is active in the NPPES registry as of the last update on 2013-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.