Individual provider Active NPI

Kerriann Boanca, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Boise, ID
National Provider Identifier
1477181543
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
3271773 Issued in ID
Practice address
600 N Robbins Rd Ste 100
Boise, ID 83702-4539
Phone
(208) 381-1615
Fax
(208) 381-5141
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 3271773 ID Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD210011692 DC
Internal Medicine Physician 207R00000X PG205706 OR

Addresses

Primary practice location

600 N Robbins Rd Ste 100
Boise, ID 83702-4539

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

5255 Loughboro Rd NW Ste 1020
Washington, DC 20016-2633
Phone (202) 537-4686

Other names 1

  • Kerriann Finnegan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240905001813 DC Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6709209158 Reassigns benefits to 1 organization
I20251108000594 ID Practitioner - Hospice/Palliative Care 6709209158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

600 N Robbins Rd
Suite 100
Boise, ID 83702-4564
Phone (208) 489-4331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PG205706ORMDInternal Medicine Physician
3271773IDMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Hospice and Palliative Medicine CurrentSince Aug 15, 2024 Accepting new patients
Johns Hopkins University CurrentSince Aug 15, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Oct 29, 2025 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
WHC Physician Group LLC PastSince Oct 1, 2023 Accepting new patients

Locations

110 Irving St NW
Ste 2A68
Washington, DC 20010

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

5255 Loughboro Rd NW
Ste 1020
Washington, DC 20016
Phone (202) 537-4686

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

600 N Robbins Rd
Ste 100
Boise, ID 83702
Phone (208) 381-9037

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

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: kboanca1248053@direct.hopkinsmedicine.org

Organizations & group practices 5

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 3

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1477181543",
    "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": "600 N ROBBINS RD STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024539",
            "telephone_number": "208-381-1615",
            "fax_number": "208-381-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Loughboro Rd NW Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162633",
            "country_code": "US",
            "telephone_number": "202-537-4686",
            "fax_number": "202-537-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOANCA",
        "first_name": "KERRIANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "ID",
            "license": "3271773",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "DC",
            "license": "MD210011692",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "PG205706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRIANN",
            "last_name": "FINNEGAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.