JESSICA MARIE HARRIS (PA-C) – Physician Assistant, NPI 1801191861
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JESSICA MARIE HARRIS (PA-C)
1075 MASON AVE
DAYTONA BEACH, FL 321174611
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Mailing
1865 LPGA BLVD
DAYTONA BEACH, FL 321177108
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Mailing
PO BOX 5105
BELFAST, ME 049155100
Phone: (828) 258-8800
Fax: (828) 258-0416
Type: Mailing
129 MCDOWELL ST
ASHEVILLE, NC 288014434
Phone: (828) 258-8800
Fax: (828) 258-0416
Type: Location
1165 Dunlawton Ave Ste 102
Port Orange, FL 321272924
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1075 Mason Ave
Daytona Beach, FL 321174611
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
17 Old Kings Rd N Ste K
Palm Coast, FL 321378283
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1175 Dunlawton Ave Ste 1
Port Orange, FL 321274741
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1865 Lpga Blvd
Daytona Beach, FL 321177108
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1890 Lpga Blvd Ste 240
Daytona Beach, FL 321177131
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Ardelyx, Inc. ($113).
Total Amount
$225
General + Research + Ownership
Payments
12
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-04-28
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 |
|---|---|---|---|---|
| I20110428000247 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 164 | 134 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 88 | 18 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 67 | 44 | $0 |
| 73502 | X-ray of hip, 2-3 views | 50 | 40 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 42 | 18 | $0 |
Insurance plans in this area (ZIP 32117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | GA | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery, Hand Surgery | MA | |
| Physician Assistant | FL |
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