KIMBERLY HARRIS (MSN, FNP) – Nurse Practitioner, NPI 1811481153

KIMBERLY HARRIS (MSN, FNP) is a healthcare provider. based in Independence, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP. They hold a License No. 2018020390 (MO). The NPI Number for KIMBERLY HARRIS (MSN, FNP) is 1811481153

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY HARRIS (MSN, FNP)
NPI
1811481153
Phone
(816) 698-7000
Address
19600 E 39TH ST S
Enumeration Date
20 June 2018
Last Update Date
20 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132229779
Graduation Year
2018 (8 years ago)
PAC ID
3577813591
Group Practice PAC ID
3779861109
Professional Enrollment ID
I20180912000983
Address ID
MO640572301IN19600SXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for KIMBERLY HARRIS (MSN, FNP)

  • 19600, East 39th Street South, Selsa, Independence, Jackson County, Missouri, 64057, United States

    INDEPENDENCE, MO 640572301

    Phone: (816) 698-7000

    Type: Location

  • 3112, South Viking Court, Fox Ridge, Independence, Jackson County, Missouri, 64057, United States

    INDEPENDENCE, MO 640571878

    Phone: (816) 806-2787

    Type: Mailing

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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$125
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: 2018-09-12

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
I20180912000983INurse PractitionerMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes262168$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6751$0
99239Hospital discharge day management, more than 30 minutes4847$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3535$0
99238Hospital discharge day management, 30 minutes or less3030$0
View full utilization report →

Insurance plans in this area (ZIP 64057)

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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: 3779861109View full group profile
NameSpecialtyState
Family PracticeMO
Internal Medicine, HospitalistMO
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Internal MedicineMO
Internal MedicineMO

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY HARRIS (MSN, FNP)?
NPI 1811481153 is assigned to KIMBERLY HARRIS (MSN, FNP) under the national enumeration system.
Is KIMBERLY HARRIS (MSN, FNP) active in the national directory?
KIMBERLY HARRIS (MSN, FNP)'s public NPI profile is in an active state.
Can you summarize KIMBERLY HARRIS (MSN, FNP)'s specialty in plain language?
Clinically, the directory lists KIMBERLY HARRIS (MSN, FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KIMBERLY HARRIS (MSN, FNP) practice in Missouri?
You will see Independence, Missouri on file for KIMBERLY HARRIS (MSN, FNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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