MRS. ELLEN DENISE HARRIS (FNP-BC) – Family Nurse Practitioner, NPI 1679916738
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for MRS. ELLEN DENISE HARRIS (FNP-BC)
PO BOX 894121
MILILANI, HI 967898121
Phone: (808) 389-9055
Type: Mailing
86-260 FARRINGTON HWY
WAIANAE, HI 967923128
Phone: (808) 697-3300
Fax: (808) 697-3687
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $121 |
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: 2025-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20151008001039 | I | Nurse Practitioner | OR | TBD |
| I20160519000249 | I | Nurse Practitioner | MI | TBD |
| I20170316002266 | I | Nurse Practitioner | WA | TBD |
| I20181205000091 | I | Nurse Practitioner | CA | TBD |
| I20240305003499 | I | Nurse Practitioner | MS | TBD |
| I20250710002182 | I | Nurse Practitioner | TN | TBD |
| I20250801001027 | I | Nurse Practitioner | IA | TBD |
| I20250924000372 | I | Nurse Practitioner | NC | TBD |
| I20251021000063 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 84 | 83 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 68 | 67 | $0 |
Insurance plans in this area (ZIP 96789)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NC | |
| Family Practice, Hospitalist | WA | |
| Internal Medicine | TX | |
| Internal Medicine, Hospitalist | WA | |
| Nurse Practitioner | TX | |
| Family Practice | NM | |
| Family Practice | ID | |
| Internal Medicine | WA | |
| Nurse Practitioner | TX | |
| Hospitalist, Internal Medicine | WV |
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