Individual provider Active NPI

Jessica Ann Harnisch-Boyd, DO, MPH

  • Family Medicine Physician
  • Smelterville, ID
National Provider Identifier
1407319841
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-1429 Issued in ID
Practice address
858 Commerce Drive
Smelterville, ID 83868
Phone
(208) 784-4612
NPI assigned
Apr 11, 2019
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-1429 ID Primary

Addresses

Primary practice location

858 Commerce Drive
Smelterville, ID 83868

Mailing address

201 N Bruce Dr
Coeur D Alene, ID 83814-5801
Phone (208) 784-8765

Other practice location 1

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221

Other practice location 2

1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814-2527
Phone (208) 625-6000

Other practice location 3

110 E Wallace Ave
Coeur D Alene, ID 83814-2948
Phone (208) 966-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815003038 ID Practitioner - Family PracticePractitioner - Hospitalist 9335522952 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of New England, College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coeur Vitality PLLCGroup PAC ID 2365860343, 4 clinicians
Shoshone Medical CenterGroup PAC ID 6103739107, 15 clinicians

Practice addresses (Care Compare)

110 E Wallace Ave
Coeur D Alene, ID 83814-2948
Phone (208) 853-0707

858 E Commerce Dr
Smelterville, ID 83868
Phone (208) 784-4612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-1429IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone Medical Center CurrentSince Sep 6, 2022 Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Coeur Vitality PLLC CurrentSince Sep 1, 2023 Accepting new patients
Incyte Pathology, LLC Current Accepting new patients
Shoshone Medical Center Family Medicine CurrentSince Sep 6, 2022 Accepting new patients

Locations

110 E Wallace Ave
Coeur D Alene, ID 83814
Phone (208) 660-2480

1919 Lincoln Way
Ste 315
Coeur D Alene, ID 83814
Phone (208) 625-6000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1407319841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BRUCE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145801",
            "telephone_number": "208-784-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 COMMERCE DRIVE",
            "city": "SMELTERVILLE",
            "state": "ID",
            "postal_code": "83868",
            "telephone_number": "208-784-4612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Jacobs Gulch Rd",
            "address_purpose": "LOCATION",
            "city": "Kellogg",
            "state": "ID",
            "postal_code": "838372023",
            "country_code": "US",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 Lincoln Way Ste 315",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142527",
            "country_code": "US",
            "telephone_number": "208-625-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142948",
            "country_code": "US",
            "telephone_number": "208-966-4512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARNISCH-BOYD",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smelterville, ID

Sources for this page

Verify at the official NPI Registry.