Individual provider Active NPI

Michelle Harcourt, FNP

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1780150979
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61016 Issued in ID
Practice address
2114 Village Park Ave Ste 200
Twin Falls, ID 83301-4172
Phone
(208) 441-0767
Fax
(208) 441-0367
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 61016 ID Primary
Registered Nurse 163W00000X 42111 ID

Addresses

Primary practice location

2114 Village Park Ave Ste 200
Twin Falls, ID 83301-4172

Mailing address

2114 Village Park Ave Ste 200
Twin Falls, ID 83301-4172
Phone (208) 441-0767

Other identifiers 2

IdentifierTypeStateIssuer
61016OtherIDFAMILY NURSE PRACTITIONER
42111OtherIDREGISTERED NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rockbehavioral.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620000005 ID Practitioner - Nurse Practitioner 7517291818

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
42111IDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Rock Behavioral Health Family Current Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1780150979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 VILLAGE PARK AVE STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014172",
            "telephone_number": "208-441-0767",
            "fax_number": "208-441-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 VILLAGE PARK AVE STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014172",
            "telephone_number": "208-441-0767",
            "fax_number": "208-441-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARCOURT",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "61016",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "42111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "61016",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "42111",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rockbehavioral.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2114 Village Park Ave Ste 200",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833014172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.