CODY BRYAN HARRIS (CNP) – Family Nurse Practitioner, NPI 1992081467

CODY BRYAN HARRIS (CNP) is a healthcare provider. based in Lewiston, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CP000676 (SD). The NPI Number for CODY BRYAN HARRIS (CNP) is 1992081467

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
CODY BRYAN HARRIS (CNP)
NPI
1992081467
Phone
(208) 743-8416
Address
1522 17TH ST
Enumeration Date
28 October 2011
Last Update Date
18 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087438416
Graduation Year
2011 (15 years ago)
PAC ID
1557529526
Group Practice PAC ID
1254743420
Professional Enrollment ID
I20150218001979
Address ID
ID835013652LE1522XSTXX300

Contacts

Secure Messaging
cody.harris@tsmh.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

1,802 NURSE PRACTITIONER in ID

Provider Addresses for CODY BRYAN HARRIS (CNP)

  • 1522 17TH ST

    LEWISTON, ID 835013652

    Phone: (208) 743-8416

    Fax: (208) 743-4642

    Type: Mailing

  • PO BOX 341

    LEWISTON, ID 835010341

    Phone: (208) 743-8416

    Fax: (208) 743-4642

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,283.

Total Amount is formed as General ($1,283) + Research ($0) + Ownership ($0) = $1,283.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($295).

Total Amount

$1,283

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-04-13

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
I20150218001979INurse PractitionerIDTBD
I20200413003661INurse PractitionerWATBD

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 minutes341213$0
99213Established patient office or other outpatient visit, 20-29 minutes249183$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit122122$0
G0444Annual depression screening, 5 to 15 minutes120120$0
96372Injection of drug or substance under skin or into muscle7444$0
View full utilization report →

Insurance plans in this area (ZIP 83501)

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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: 1254743420View full group profile
NameSpecialtyState
Nurse PractitionerGA
Diagnostic Radiology, Interventional RadiologyID
Nurse PractitionerID
Nurse PractitionerID
Family PracticeID
Nurse PractitionerID
Nurse PractitionerID
Family PracticeID
Nurse PractitionerID
Diagnostic Radiology, Interventional RadiologyNY

Reviews

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Frequently asked questions

How do payers reference CODY BRYAN HARRIS (CNP)?
For CODY BRYAN HARRIS (CNP), use NPI 1992081467 as the unique 10-digit identifier.
Would CODY BRYAN HARRIS (CNP) appear as active to a payer?
You can treat CODY BRYAN HARRIS (CNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CODY BRYAN HARRIS (CNP)?
CODY BRYAN HARRIS (CNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Idaho is CODY BRYAN HARRIS (CNP) registered?
Use Lewiston, Idaho as the headline location for CODY BRYAN HARRIS (CNP) here.
When was this NPI issued?
Enumeration for CODY BRYAN HARRIS (CNP) is noted as October 28, 2011 where the registry provides it.

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