MICHELLE R HARRISON (M.D.) – Obstetrics & Gynecology Physician, NPI 1710973128
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for MICHELLE R HARRISON (M.D.)
1234, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
SUITE 1
FORT WAYNE, IN 468251545
Phone: (260) 373-9700
Fax: (260) 373-9740
Type: Mailing
333, North Oak Street, Columbia City, Whitley County, Indiana, 46725, United States
SUITE F
COLUMBIA CITY, IN 46725
Phone: (260) 248-9090
Fax: (260) 248-9095
Type: Location
1270 E State Road 205 Ste 140
Columbia City, IN 467258505
Phone: (260) 248-9090
Fax: (260) 248-9095
Type: Location
2001 W 86TH ST
INDIANAPOLIS, IN 462601902
Phone: (317) 338-2345
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
310 E WALNUT ST
GARDEN CITY, KS 678465572
Phone: (620) 275-9752
Fax: (620) 275-4306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: CONMED Corporation ($38).
Total Amount
$83
General + Research + Ownership
Payments
5
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CONMED Corporation | $38 |
| Hologic Sales and Service, LLC | $35 |
| Meditrina | $10 |
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: 2024-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20060208000383 | I | Obstetrics/Gynecology | IN | TBD |
| I20240314001667 | I | Obstetrics/Gynecology | KS | TBD |
| I20240403001485 | I | Obstetrics/Gynecology | NE | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 46825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| Nurse Practitioner | MO | |
| Family Practice | KS | |
| Nurse Practitioner | CO | |
| Family Practice | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK |
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