MR. DESHAWN ANTONIO SR. HARRIS (APRN) – Family Nurse Practitioner, NPI 1558503615

MR. DESHAWN ANTONIO SR. HARRIS (APRN) is a healthcare provider. based in Springfield, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3017379 (KY). The NPI Number for MR. DESHAWN ANTONIO SR. HARRIS (APRN) is 1558503615

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. DESHAWN ANTONIO SR. HARRIS (APRN)
NPI
1558503615
Phone
(937) 323-5800
Address
2624 LEXINGTON AVE
Enumeration Date
3 April 2009
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8557432247
Graduation Year
2019 (7 years ago)
PAC ID
2769812759
Group Practice PAC ID
2163969650
Professional Enrollment ID
I20200414003667
Address ID
OH432196223CO4400XCMNS301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Loading map...

Provider Addresses for MR. DESHAWN ANTONIO SR. HARRIS (APRN)

  • 2624, Lexington Avenue, Layne, Springfield, Clark County, Ohio, 45505, United States

    SPRINGFIELD, OH 455052620

    Phone: (937) 323-5800

    Type: Mailing

  • 329 N WEST ST

    LIMA, OH 458014332

    Phone: (419) 221-3072

    Type: Mailing

  • 106 N MAIN ST

    NEW CARLISLE, OH 453441835

    Phone: (937) 667-1122

    Fax: (419) 225-8878

    Type: Location

  • 300 HIGH ST FL 3

    HAMILTON, OH 450116078

    Phone: (513) 454-1460

    Type: Mailing

  • 601 N BREIEL BLVD UNIT B

    MIDDLETOWN, OH 450423899

    Phone: (513) 454-1111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($98).

Total Amount

$118

General + Research + Ownership

Payments

2

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200414003667INurse PractitionerOHTBD
I20250826003675INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes623130$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes18649$0
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
99316Nursing facility discharge management, more than 30 minutes2519$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 45505)

Loading plans...

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: 2163969650View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantKY
Nurse PractitionerPA
Family PracticeNY
Nurse PractitionerCA
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantNC
Nurse PractitionerIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference MR. DESHAWN ANTONIO SR. HARRIS (APRN)?
For MR. DESHAWN ANTONIO SR. HARRIS (APRN), use NPI 1558503615 as the unique 10-digit identifier.
Would MR. DESHAWN ANTONIO SR. HARRIS (APRN) appear as active to a payer?
You can treat MR. DESHAWN ANTONIO SR. HARRIS (APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. DESHAWN ANTONIO SR. HARRIS (APRN)?
MR. DESHAWN ANTONIO SR. HARRIS (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. DESHAWN ANTONIO SR. HARRIS (APRN)?
Directory geography for MR. DESHAWN ANTONIO SR. HARRIS (APRN) centers on Springfield, Ohio.
Does MR. DESHAWN ANTONIO SR. HARRIS (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MS. JANICE LYNN BADENHOP DAVIS (CNP)

Family Nurse Practitioner
2050, Kenny Road, Columbus, Sharon, Franklin, Ohio, 43210, United States
NPI: 1578562237

CRYSTAL R HAMMOND (APRN-CNM, APRN-CNP)

Women's Health Nurse Practitioner
2929 SHRINE RD
NPI: 1154323145
410 W 10th Ave
NPI: 1417905324

RINEHART FAMILY HEALTH LLC

Family Nurse Practitioner
First Street, Fiberloid, Springfield, Hampden County, Massachusetts, 01152, United States
NPI: 1679586010

TRECIA LYNN NARCELLES (CNP)

Family Nurse Practitioner
200, West Ward Street, Springfield, Clark County, Ohio, 45504, United States
NPI: 1174624043

THOMAS W. ERICKSEN, M.D.

Family Nurse Practitioner
1835, East High Street, Parkwood, Springfield, Greene County, Missouri, 65803, United States
NPI: 1225119936

LEATHA M ROSS (CRNP)

Family Nurse Practitioner
Wright State University, 3640, Colonel Glenn Highway, Dayton, Greene County, Ohio, 45435, United States
NPI: 1487720801

HARRY E ROSS (ARNP)

Family Nurse Practitioner
2205 N Limestone St
NPI: 1235299181