MRS. LARESSE HARRIS (APRN, FNP-C) – Family Nurse Practitioner, NPI 1013516939

MRS. LARESSE HARRIS (APRN, FNP-C) is a healthcare provider. based in South holland, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 209.022243 (IL). The NPI Number for MRS. LARESSE HARRIS (APRN, FNP-C) is 1013516939

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LARESSE HARRIS (APRN, FNP-C)
NPI
1013516939
Phone
Not provided
Address
430 EAS 162ND STREET, STE 573
Enumeration Date
21 October 2020
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198854264
Graduation Year
2020 (6 years ago)
PAC ID
0648682583
Group Practice PAC ID
9234398397
Professional Enrollment ID
I20201217000151
Address ID
IN464021723GA1110XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. LARESSE HARRIS (APRN, FNP-C)

  • 430 EAS 162ND STREET, STE 573

    SOUTH HOLLAND, IL 60473

    Phone:

    Type: Mailing

  • 1100 W 6TH AVE

    GARY, IN 464021711

    Phone: (219) 885-4264

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($125).

Total Amount

$509

General + Research + Ownership

Payments

14

Total payment records

General Amount

$509

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

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: 2020-12-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201217000151INurse PractitionerINTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1313$0
View full utilization report →

Insurance plans in this area (ZIP 60473)

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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: 9234398397View full group profile
NameSpecialtyState
Nurse PractitionerIN
Family PracticeIN
Nurse PractitionerIN
-IN
-IN
Family PracticeIL
Family PracticeIN
-IN
P S Y C H I A T R YIN
P S Y C H I A T R YIN

Reviews

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Frequently asked questions

Can I cross-check MRS. LARESSE HARRIS (APRN, FNP-C) using NPI 1013516939?
NPI 1013516939 belongs to MRS. LARESSE HARRIS (APRN, FNP-C); compare other details if you need extra assurance.
Would MRS. LARESSE HARRIS (APRN, FNP-C) appear as active to a payer?
You can treat MRS. LARESSE HARRIS (APRN, FNP-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. LARESSE HARRIS (APRN, FNP-C)?
MRS. LARESSE HARRIS (APRN, FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. LARESSE HARRIS (APRN, FNP-C)?
Directory geography for MRS. LARESSE HARRIS (APRN, FNP-C) centers on South Holland, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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