Jaclynn N Harnish, CRNP
Individual provider Active NPI Nurse Practitioner · Northampton, PA
NPI 1639617913 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1639617913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP (PA)
- Practice address
- 602 B East 21St Street
Ste 400
Northampton, PA 18067-1269 - Phone
- (484) 526-7275
- Fax
- (610) 261-2187
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Lukes Physician Group Inc
Practice addresses (Care Compare)
44 W 21St St
Suite 101
Northampton, PA 18067-1221
Phone (610) 419-7800
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170504002541 | PA | Practitioner - Nurse Practitioner | 5395022032 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current |
Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
Locations
6651 Silver Crest Rd
Ste 101
Bath, PA 18014
Phone (484) 526-7265
4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519
44 W 21st St
#101
Northampton, PA 18067
Phone (610) 261-0999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP | PA | Yes |
Addresses
Primary practice location
602 B East 21St Street
Ste 400
Northampton, PA 18067-1269
Mailing address
801 Ostrum St
Enrollment Center
Bethlehem, PA 18015-1000
Phone (484) 526-6048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686024KHD | Other | PA | MEDICARE GROUP |
Other providers in Northampton, PA
- Cheryl A Grover
- Natalie A Gulich
- Jahangir Habib
- Terry Lynn Hafer
- Christopher Michael Hall
- Julianne Haydt
- Sarah F Hilbert
- Jose Paul Loor LLC
- Athena Medina Joseph
- Anthony Kapinas Jr.
All providers in Northampton, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.