NPI age
20 years
Enumerated 2005-09-14
● Active
Type 1 · Individual
MS. Jocelyn J Korasick, MD
Korasick is 1 of 6 family medicine providers in Kellogg and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
ID, WI, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
740 McKinley Ave
Kellogg, ID 838372693
Mailing address
Po Box 1387
Hayden, ID 838351387
Additional practice locations
1 secondary location on file with NPPES.
Location 2
14408 E Sprague Ave
Spokane Valley, WA 992162167
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1457346603 | |
| 05 (WI) | 35370500 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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