STEPHANIE MELISSA HARRIS (APRN) – Nurse Practitioner, NPI 1396487567

STEPHANIE MELISSA HARRIS (APRN) is a healthcare provider. based in Ormond beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11019125 (FL). The NPI Number for STEPHANIE MELISSA HARRIS (APRN) is 1396487567

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MELISSA HARRIS (APRN)
NPI
1396487567
Phone
(386) 309-2165
Address
400 Clyde Morris Blvd Unit B1
Enumeration Date
8 April 2022
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042233321
Graduation Year
2021 (5 years ago)
PAC ID
2365820883
Group Practice PAC ID
6901890300
Professional Enrollment ID
I20220610002352
Address ID
FL321773887PA205XXDRXX301
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

24,232 NURSE PRACTITIONER in FL

Provider Addresses for STEPHANIE MELISSA HARRIS (APRN)

  • 400 Clyde Morris Blvd Unit B1

    Ormond Beach, FL 321748171

    Phone: (386) 309-2165

    Fax: (386) 309-2265

    Type: Location

  • 301 LAKEVIEW AVE

    CRESCENT CITY, FL 321122219

    Phone: (386) 983-9034

    Type: Mailing

  • 130 HEALTH PARK BLVD

    ST AUGUSTINE, FL 320865776

    Phone: (904) 826-3469

    Type: Location

  • 5191 FIRST COAST TECH PKWY FL 3

    JACKSONVILLE, FL 322240609

    Phone: (904) 223-3321

    Fax: (904) 223-2169

    Type: Mailing

  • 6100 SAINT JOHNS AVE STE 4

    PALATKA, FL 321776859

    Phone: (904) 223-3321

    Fax: (904) 223-2169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $663.

Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Medtronic, Inc. ($137).

Total Amount

$663

General + Research + Ownership

Payments

28

Total payment records

General Amount

$663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2022-06-10

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
I20220610002352INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes433332$0
99213Established patient office or other outpatient visit, 20-29 minutes304230$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5050$0
99497Advance care planning, first 30 minutes4949$0
81002Urinalysis, manual test3333$0
View full utilization report →

Insurance plans in this area (ZIP 32174)

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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: 6901890300View full group profile
NameSpecialtyState
Nurse PractitionerFL
Pain Management, AnesthesiologyFL
Nurse PractitionerGA
Pain ManagementGA
Nurse PractitionerFL
Anesthesiology, Pain ManagementFL
Nurse PractitionerFL
Anesthesiology, Pain ManagementFL
C H I R O P R A C T I CFL
Interventional Pain ManagementFL

Reviews

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Frequently asked questions

What is the registry number for STEPHANIE MELISSA HARRIS (APRN)?
The registry entry for STEPHANIE MELISSA HARRIS (APRN) shows NPI 1396487567.
Quick check: is STEPHANIE MELISSA HARRIS (APRN) active?
Public NPPES data shows STEPHANIE MELISSA HARRIS (APRN) with an active NPI status right now.
What services align with STEPHANIE MELISSA HARRIS (APRN)'s listing?
STEPHANIE MELISSA HARRIS (APRN)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEPHANIE MELISSA HARRIS (APRN)?
STEPHANIE MELISSA HARRIS (APRN) is associated with Ormond Beach, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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