KIMBERLY LAUREN HARRIS (PA-C) – Physician Assistant, NPI 1033736780
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
Provider Addresses for KIMBERLY LAUREN HARRIS (PA-C)
485 Ritchie Hwy
Severna Park, MD 211462918
Phone: (410) 255-7900
Type: Location
33 Magothy Beach Rd Ste 102-103
Pasadena, MD 211224413
Phone: (410) 255-7900
Type: Location
33 MAGOTHY BEACH RD STE 102-103
PASADENA, MD 211224413
Phone: (410) 255-7900
Type: Location
114 APPLE BLOSSOM WAY
GAITHERSBURG, MD 208781165
Phone: (240) 620-7810
Type: Mailing
6565 N CHARLES ST STE 601
BALTIMORE, MD 212045801
Phone: (410) 821-5151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($260).
Total Amount
$289
General + Research + Ownership
Payments
16
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $260 |
| Regeneron Healthcare Solutions, Inc. | $28 |
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: 2020-07-31
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 |
|---|---|---|---|---|
| I20200731001272 | I | Physician Assistant | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MD | |
| Geriatric Medicine, Internal Medicine | MD | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Practice | MD | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | DE | |
| Internal Medicine | MD | |
| Physician Assistant | MD | |
| Nurse Practitioner | MD | |
| N E U R O S U R G E R Y | MD | |
| Family Practice | MD |
Reviews
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