MRS. TICEY RENE HARRIS (APRN) – Acute Care Nurse Practitioner, NPI 1093115461
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,947 NURSE PRACTITIONER in NV
Provider Addresses for MRS. TICEY RENE HARRIS (APRN)
3186 S MARYLAND PKWY
LAS VEGAS, NV 891092317
Phone: (702) 961-5000
Type: Mailing
1142 SPOTTSWOODE ST
HENDERSON, NV 890023387
Phone: (702) 354-5032
Type: Mailing
PO BOX 36830
LAS VEGAS, NV 891336830
Phone: (702) 703-4340
Fax: (702) 570-1403
Type: Mailing
8930 W SUNSET RD STE 350
LAS VEGAS, NV 891485042
Phone: (702) 703-4340
Fax: (702) 570-1403
Type: Location
700 SHADOW LN STE 240
LAS VEGAS, NV 891064158
Phone: (702) 384-0022
Fax: (702) 384-0529
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,361.
Total Amount is formed as General ($1,361) + Research ($0) + Ownership ($0) = $1,361.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Boston Scientific Corporation ($254).
Total Amount
$1,361
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $254 |
| Novartis Pharmaceuticals Corporation | $194 |
| ABIOMED | $140 |
| Novo Nordisk Inc | $135 |
| Penumbra, Inc. | $122 |
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: 2015-05-22
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 |
|---|---|---|---|---|
| I20150522001166 | I | Nurse Practitioner | NV | 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 89109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | NV | |
| Internal Medicine | AZ | |
| Internal Medicine | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | NV | |
| Nephrology, Internal Medicine | NV | |
| - | NV | |
| Nurse Practitioner | IL | |
| Internal Medicine | NV |
Reviews
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