Kristin Anne Hildebrandt, MD

Individual provider Active NPI Family Medicine Physician · Mountain Home, ID

NPI 1962961359 · NPPES record last updated Sep 19, 2025

Key facts

NPI
1962961359
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
3571057 (ID)
Practice address
465 McKenna Dr
Mountain Home, ID 83647-2143
Phone
(208) 587-9703
Fax
(208) 587-1816
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers (31 clinicians)
St Lukes Clinic-Treasure Valley LLC (1,155 clinicians)
Okanogan County Public Hospital District No. 3 (89 clinicians)
Rural Physicians Group-Pannu PLLC (141 clinicians)

Practice addresses (Care Compare)

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

465 McKenna Dr
Mountain Home, ID 83647-2143
Phone (208) 587-9703

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

716 1St Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

895 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Hospital & facility affiliations

  • St Luke'S Elmore Medical Center Hospital · Mountain Home, ID · CCN 131311
  • St Luke'S Regional Medical Center Hospital · Boise, ID · CCN 130006
  • Mid Valley Hospital & Clinic Hospital · Omak, WA · CCN 501328

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WA, ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220826002572 WA Practitioner - Family Practice
Practitioner - Obstetrics/Gynecology
0547591646 Reassigns benefits to 2 organizations
I20250712000272 ID Practitioner - Family Practice 0547591646 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3571057IDMDFamily Medicine Physician
61181074WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine Current
since Jun 30, 2025
Accepting new patients
Family Health Centers Current
since Jan 8, 2024
Accepting new patients
Okanogan County Public Hospital District No. 3 Current
since Feb 5, 2024
Accepting new patients
Family Health Centers Current Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine Current Accepting new patients
Family Health Centers Current
since Jan 8, 2024
Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine Current
since Jun 30, 2025
Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine Current
since Sep 1, 2025
Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

465 McKenna Dr
Mtn Home, ID 83647
Phone (208) 587-9703

525 Jay Ave
Brewster, WA 98812
Phone (509) 689-3455

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61181074 WA
Family Medicine Physician 207Q00000X 3571057 ID Yes

Addresses

Primary practice location

465 McKenna Dr
Mountain Home, ID 83647-2143

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

1003 Koala Dr
Omak, WA 98841-9247
Phone (800) 660-2129

Other practice location 2

895 N 6th E
Mountain Home, ID 83647-2207
Phone (208) 587-8401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2025.

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1962961359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MCKENNA DR",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472143",
            "telephone_number": "208-587-9703",
            "fax_number": "208-587-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Koala Dr",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "988419247",
            "country_code": "US",
            "telephone_number": "800-660-2129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 N 6th E",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472207",
            "country_code": "US",
            "telephone_number": "208-587-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRANDT",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61181074",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "3571057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

All providers in Mountain Home, ID · Family Medicine Physician in Idaho

Sources for this page

Verify at the official NPI Registry.