JESSICA HARRIS – Family Nurse Practitioner, NPI 1619633211

JESSICA HARRIS is a healthcare provider. based in Chandler, Arizona. specializing in NURSE PRACTITIONER. They hold a License No. 222408 (AZ). The NPI Number for JESSICA HARRIS is 1619633211

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA HARRIS
NPI
1619633211
Phone
Not provided
Address
661 W WINCHESTER DR
Enumeration Date
9 November 2021
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6023771450
Graduation Year
2021 (5 years ago)
PAC ID
7214324276
Group Practice PAC ID
3072954759
Professional Enrollment ID
I20220422000460
Address ID
AZ852584531SC10210STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for JESSICA HARRIS

  • 661 W WINCHESTER DR

    CHANDLER, AZ 852866488

    Phone:

    Type: Mailing

  • 22902 E SONOQUI BLVD

    QUEEN CREEK, AZ 851425720

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220422000460INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97610Therapy procedure using ultrasound28341$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes5028$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4431$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1814$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 85286)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072954759View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerUT
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How is JESSICA HARRIS identified in CMS data?
CMS-hosted NPPES data lists JESSICA HARRIS with NPI 1619633211.
Can I rely on JESSICA HARRIS being an active provider?
As of the registry snapshot, JESSICA HARRIS is marked active.
What is JESSICA HARRIS's primary classification?
Family Nurse Practitioner is the headline specialty for JESSICA HARRIS here. Clinical services aligned with this taxonomy classification.
Where should I expect JESSICA HARRIS on a map?
Expect Chandler, Arizona as a primary anchor for JESSICA HARRIS unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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