MALLORY E. HARRIS (PA) – Medical Physician Assistant, NPI 1033519830
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for MALLORY E. HARRIS (PA)
PO BOX 688
INDEPENDENCE, KS 673010688
Phone:
Type: Mailing
3751 W MAIN ST
INDEPENDENCE, KS 673018446
Phone: (620) 331-1748
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($30).
Total Amount
$44
General + Research + Ownership
Payments
3
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $30 |
| Lilly USA, LLC | $14 |
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: 2014-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141007002323 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 130 | 48 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 75 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 17 | $0 |
Insurance plans in this area (ZIP 67301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Mental Health Counselor | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | TX | |
| Mental Health Counselor | KS | |
| Physician Assistant | KS | |
| Clinical Social Worker | KS | |
| Mental Health Counselor | KS | |
| Clinical Social Worker | KS |
Reviews
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