LISA MARIE HARRIS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609395110

LISA MARIE HARRIS (PMHNP) is a healthcare provider. based in Panama city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN271169 (GA). The NPI Number for LISA MARIE HARRIS (PMHNP) is 1609395110

Main info

Female
Sole Proprietor
13 Years Of Experience
Name
LISA MARIE HARRIS (PMHNP)
NPI
1609395110
Phone
(575) 405-8948
Address
319 N Bonita Ave
Enumeration Date
15 September 2017
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502154060
Graduation Year
2013 (13 years ago)
PAC ID
1456601269
Professional Enrollment ID
I20210527000993
Address ID
FL324012568PA803XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:8State licenses:4Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for LISA MARIE HARRIS (PMHNP)

  • 319 N Bonita Ave

    Panama City, FL 324013748

    Phone: (575) 405-8948

    Type: Location

  • 100, South Madison Street, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317925473

    Phone: (229) 236-0831

    Fax: (229) 236-0871

    Type: Location

  • 3427 BRIAR BRANCH TRL

    TALLAHASSEE, FL 323123605

    Phone: (575) 405-8948

    Type: Mailing

  • 803 JENKS AVE STE 1

    PANAMA CITY, FL 324012568

    Phone: (850) 215-4060

    Fax: (850) 695-9176

    Type: Mailing

  • 98, East Club Drive, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317927604

    Phone: (575) 405-8948

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 201 Open Payments records for all available years, with a total value of $4,697.

Total Amount is formed as General ($4,697) + Research ($0) + Ownership ($0) = $4,697.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,105).

Total Amount

$4,697

General + Research + Ownership

Payments

201

Total payment records

General Amount

$4,697

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2021-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180828004172INurse PractitionerGATBD
I20210527000993INurse 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 minutes9524$0
90833Psychotherapy with evaluation and management visit, 30 minutes8922$0
View full utilization report →

Insurance plans in this area (ZIP 32401)

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Reviews

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Frequently asked questions

What is LISA MARIE HARRIS (PMHNP)'s NPI number?
LISA MARIE HARRIS (PMHNP)'s NPI is 1609395110 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LISA MARIE HARRIS (PMHNP)?
For scheduling context, LISA MARIE HARRIS (PMHNP) is shown as active in the registry.
What clinical focus is listed for LISA MARIE HARRIS (PMHNP)?
At a glance, LISA MARIE HARRIS (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA MARIE HARRIS (PMHNP)?
Travel planning: use Panama City, Florida as the reference point for LISA MARIE HARRIS (PMHNP), then confirm.
Can I trust this NPI listing for LISA MARIE HARRIS (PMHNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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