MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) – Family Nurse Practitioner, NPI 1982253670

MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) is a healthcare provider. based in Midlothian, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4008566 (KY). The NPI Number for MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) is 1982253670

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE CHARLENE HARRIS (FNP-BC)
NPI
1982253670
Phone
(773) 968-6253
Address
14701 PULASKI RD
Enumeration Date
5 September 2019
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2017 (9 years ago)
PAC ID
7719219096
Group Practice PAC ID
7810289949
Professional Enrollment ID
I20250529002876
Address ID
MN551222235EA4241XRDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:6State licenses:13Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. CHRISTINE CHARLENE HARRIS (FNP-BC)

  • 14701 PULASKI RD

    MIDLOTHIAN, IL 604453410

    Phone: (773) 968-6253

    Type: Mailing

  • 11114 S HARLEM AVE

    WORTH, IL 604823554

    Phone: (224) 607-4063

    Type: Mailing

  • 11200 LINCOLN HWY

    MOKENA, IL 604488208

    Phone: (773) 968-6253

    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 $2,000.

Total Amount is formed as General ($2,000) + Research ($0) + Ownership ($0) = $2,000.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: ABBVIE INC. ($2,000).

Total Amount

$2,000

General + Research + Ownership

Payments

1

Total payment records

General Amount

$2,000

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$2,000
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: 2025-05-29

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
I20191106001942INurse PractitionerILTBD
I20250529002876INurse PractitionerMNTBD

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
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes11677$0
View full utilization report →

Insurance plans in this area (ZIP 60445)

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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: 7810289949View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN
-MN
Nurse PractitionerPA
Physician AssistantMN
-MN
Nurse PractitionerMN
-MN

Reviews

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Frequently asked questions

Is there an official ID for MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) in U.S. healthcare records?
The official identifier for MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) is NPI 1982253670.
Would MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) appear as active to a payer?
You can treat MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. CHRISTINE CHARLENE HARRIS (FNP-BC)'s focus?
For MRS. CHRISTINE CHARLENE HARRIS (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) located near Midlothian?
MRS. CHRISTINE CHARLENE HARRIS (FNP-BC) currently maps to Midlothian, Illinois in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.