Raquel Renee Kacin, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77590 Issued in ID

Practice address

3167 West Belltower Drive
Suite 120
Meridian, ID 83646

Phone

(208) 908-7797

Fax

(208) 908-6588

NPI assigned

Sep 12, 2006

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: raquel.kacin.p1@direct.elkochc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Medicine Idaho, LLC

  dba Core Medicine of Idaho

  • Primary Care Clinic/Center
  • Caldwell, ID
  • NPI 1043927882
  NPD (past)
• Functional Medicine of Idaho PC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1336656040
  NPD (past)
• Premise Health of Nevada Medical Hinitt PC

  dba Premise Health Wellness Center-Las Vegas

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1649977067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1376647909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E JADE CREEK LN",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167697",
            "telephone_number": "757-934-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 WEST BELLTOWER DRIVE",
            "address_2": "SUITE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-908-7797",
            "fax_number": "208-908-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACIN",
        "first_name": "RAQUEL",
        "middle_name": "RENEE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN000865",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "77590",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "RN25040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Sierra Juker, PA-C MSPAS
• Julie Myers, LCPC, LLC
• Juneric, Inc. (Seniors Helping Seniors Treasure Valley)
• Austin Jung
• Matthew Cole Justesen, PHARMD
• James Donald Kahre Jr., R.PH
• Erika Kalina, DMD
• Kelly Kandes-Myers, FNP-C
• Christina Kane, LPC
• Kara Mae Kang, L.C.P.C

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.