STEPHANIE MELISSA HARRIS (APRN) – Nurse Practitioner, NPI 1396487567
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $137 |
| Lundbeck LLC | $99 |
| PFIZER INC. | $61 |
| Dynavax Technologies Corporation | $53 |
| ABBVIE INC. | $53 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220610002352 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 433 | 332 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 304 | 230 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | 50 | $0 |
| 99497 | Advance care planning, first 30 minutes | 49 | 49 | $0 |
| 81002 | Urinalysis, manual test | 33 | 33 | $0 |
Insurance plans in this area (ZIP 32174)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Pain Management, Anesthesiology | FL | |
| Nurse Practitioner | GA | |
| Pain Management | GA | |
| Nurse Practitioner | FL | |
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| Anesthesiology, Pain Management | FL | |
| C H I R O P R A C T I C | FL | |
| Interventional Pain Management | FL |
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