Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Richard Kracke, PHD

Individual provider Psychologist · NPI 1164416749

Dr. Kevin Richard Kracke, PHD is a Clinical Psychologist in Lewiston, Idaho. Qualified in 1980, 46 years ago. Practices with Dr Kracke and Associates P A, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
46
Licensed in
ID
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

422 17th St
Lewiston, ID 83501-2526 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 743-4680
Fax: (208) 743-1756
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY189 (ID)

Record details

NPI number1164416749
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESMarch 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Dr Kracke And Associates P A — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients12
Services billed 178 a service is one billed item, such as a visit, a test or a procedure
Average patient age63

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Dr Kracke and Associates P A

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Lewiston