MRS. THERESA LYON HARRIS (APRN) – Nurse Practitioner, NPI 1871849596
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. THERESA LYON HARRIS (APRN)
9471 BAYMEADOWS RD
STE 405
JACKSONVILLE, FL 322567937
Phone: (904) 238-3752
Type: Mailing
3720 BEACH BLVD
JACKSONVILLE, FL 322073814
Phone: (904) 475-2039
Fax: (904) 330-0668
Type: Location
520 A1A N STE 101
PONTE VEDRA BEACH, FL 320822260
Phone: (904) 273-6900
Fax: (904) 390-7479
Type: Location
PO BOX 746638
ATLANTA, GA 303746638
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $745.
Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($89).
Total Amount
$745
General + Research + Ownership
Payments
34
Total payment records
General Amount
$745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
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: 2012-08-30
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 |
|---|---|---|---|---|
| I20120830000110 | 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 | 419 | 313 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 215 | 188 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 83 | 83 | $0 |
| 81003 | Automated urinalysis test | 66 | 52 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 58 | 51 | $0 |
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| H O S P I T A L I S T | UT | |
| - | UT | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | GA | |
| Family Practice | UT | |
| Hospitalist, Internal Medicine | FL | |
| H O S P I T A L I S T | UT | |
| R H E U M A T O L O G Y | UT | |
| Hospitalist, Internal Medicine | FL |
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