MRS. KIMBERLY L HARRIS (RN, MSN, FNP) – Nurse Practitioner, NPI 1881212322

MRS. KIMBERLY L HARRIS (RN, MSN, FNP) is a healthcare provider. based in Lehigh acres, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, FNP. They hold a License No. 9318692 (FL). The NPI Number for MRS. KIMBERLY L HARRIS (RN, MSN, FNP) is 1881212322

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY L HARRIS (RN, MSN, FNP)
NPI
1881212322
Phone
(239) 368-4410
Address
1500 LEE BLVD
Enumeration Date
10 July 2020
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5618810066
Graduation Year
2020 (6 years ago)
PAC ID
6103222070
Group Practice PAC ID
9739260019
Professional Enrollment ID
I20240313000468
Address ID
FL334073244WE4455XWAYX400

Contacts

Other Endpoint
kharris4@phsi.us
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. KIMBERLY L HARRIS (RN, MSN, FNP)

  • 1500 LEE BLVD

    LEHIGH ACRES, FL 339364835

    Phone: (239) 368-4410

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-13

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
I20210901003011INurse PractitionerTXTBD
I20240313000468INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33936)

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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: 9739260019View full group profile

Reviews

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Frequently asked questions

Does MRS. KIMBERLY L HARRIS (RN, MSN, FNP) have a public NPI I can cite?
Public records show MRS. KIMBERLY L HARRIS (RN, MSN, FNP) under NPI 1881212322.
Does the public listing show MRS. KIMBERLY L HARRIS (RN, MSN, FNP) as active?
MRS. KIMBERLY L HARRIS (RN, MSN, FNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. KIMBERLY L HARRIS (RN, MSN, FNP)?
NPPES ties MRS. KIMBERLY L HARRIS (RN, MSN, FNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. KIMBERLY L HARRIS (RN, MSN, FNP)?
MRS. KIMBERLY L HARRIS (RN, MSN, FNP) shows a connection to Lehigh Acres, Florida in registry-derived data.
Can I export MRS. KIMBERLY L HARRIS (RN, MSN, FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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