KIMBERLY HARRIS (APRN) – Nurse Practitioner, NPI 1043751449

KIMBERLY HARRIS (APRN) is a healthcare provider. based in Boynton beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 5014297 (NC). The NPI Number for KIMBERLY HARRIS (APRN) is 1043751449

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY HARRIS (APRN)
NPI
1043751449
Phone
(561) 729-9359
Address
4805 PURDUE DR
Enumeration Date
17 March 2017
Last Update Date
9 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617036936
Graduation Year
2016 (10 years ago)
PAC ID
5092074617
Group Practice PAC ID
7618294984
Professional Enrollment ID
I20180104002071
Address ID
FL334846597DE5130XBLVD379
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

24,500 NURSE PRACTITIONER in FL

Provider Addresses for KIMBERLY HARRIS (APRN)

  • 4805 PURDUE DR

    BOYNTON BEACH, FL 334367721

    Phone: (561) 729-9359

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $594.

Total Amount is formed as General ($594) + Research ($0) + Ownership ($0) = $594.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Next Science LLC ($251).

Total Amount

$594

General + Research + Ownership

Payments

13

Total payment records

General Amount

$594

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-01-04

PECOS data refreshed: 2026-06-15

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
I20180104002071INurse PractitionerFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes677130$0
99214Established patient office or other outpatient visit, 30-39 minutes32299$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10242$0
97610Therapy procedure using ultrasound10023$0
99213Established patient office or other outpatient visit, 20-29 minutes7252$0
View full utilization report →

Insurance plans in this area (ZIP 33436)

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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: 7618294984View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)FL
P O D I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does KIMBERLY HARRIS (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY HARRIS (APRN) uses 1043751449.
Does the file indicate KIMBERLY HARRIS (APRN) is practicing under active NPI?
Directory data currently reports KIMBERLY HARRIS (APRN) as active.
What is KIMBERLY HARRIS (APRN)'s specialty?
The listing groups KIMBERLY HARRIS (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY HARRIS (APRN) based?
KIMBERLY HARRIS (APRN) is tied to Boynton Beach, Florida in the data we show; additional addresses may exist on the full record.
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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