NICOLAS JAMES HARRIS (PA-C) – Physician Assistant, NPI 1013793058

NICOLAS JAMES HARRIS (PA-C) is a healthcare provider. based in Kalamazoo, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601012031 (MI). The NPI Number for NICOLAS JAMES HARRIS (PA-C) is 1013793058

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLAS JAMES HARRIS (PA-C)
NPI
1013793058
Phone
(269) 341-7333
Address
601 JOHN ST STE M-460
Enumeration Date
6 September 2023
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694281111
Graduation Year
2023 (3 years ago)
PAC ID
5597119446
Group Practice PAC ID
2264831577
Professional Enrollment ID
I20230926001831
Address ID
MI490858630SA3905XPATH300

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for NICOLAS JAMES HARRIS (PA-C)

  • 601 JOHN ST STE M-460

    KALAMAZOO, MI 490075355

    Phone: (269) 341-7333

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: LeMaitre Vascular, Inc. ($72).

Total Amount

$239

General + Research + Ownership

Payments

8

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2023-09-26

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
I20230926001831IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49007)

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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: 2264831577View full group profile
NameSpecialtyState
Internal MedicineMI
Nurse PractitionerMI
Family PracticeMI
Internal MedicineMI
Internal MedicineMI
Internal MedicineMD
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for NICOLAS JAMES HARRIS (PA-C) in the U.S.?
In the U.S., NICOLAS JAMES HARRIS (PA-C) is identified by NPI 1013793058.
Is NICOLAS JAMES HARRIS (PA-C)'s NPI status active today?
Active status means NICOLAS JAMES HARRIS (PA-C)'s NPI record is not deactivated in the public file.
What type of care does NICOLAS JAMES HARRIS (PA-C) provide?
NICOLAS JAMES HARRIS (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLAS JAMES HARRIS (PA-C)?
NICOLAS JAMES HARRIS (PA-C) is associated with Kalamazoo, Michigan in the same public data insurers reference.
Can I export NICOLAS JAMES HARRIS (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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