CANDACE HARRIS (FNP-C) – Family Nurse Practitioner, NPI 1043636244

CANDACE HARRIS (FNP-C) is a healthcare provider. based in Collierville, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 18449 (TN). The NPI Number for CANDACE HARRIS (FNP-C) is 1043636244

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE HARRIS (FNP-C)
NPI
1043636244
Phone
(901) 610-3135
Address
1204 W POPLAR AVE
Enumeration Date
12 March 2014
Last Update Date
19 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9016103135
Graduation Year
2013 (13 years ago)
PAC ID
3476786922
Group Practice PAC ID
0941480131
Professional Enrollment ID
I20140507001360
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for CANDACE HARRIS (FNP-C)

  • 1204 W POPLAR AVE

    SUITE 102

    COLLIERVILLE, TN 380173103

    Phone: (901) 610-3135

    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 33 Open Payments records for all available years, with a total value of $513.

Total Amount is formed as General ($513) + Research ($0) + Ownership ($0) = $513.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($474).

Total Amount

$513

General + Research + Ownership

Payments

33

Total payment records

General Amount

$513

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2014-05-07

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
I20140507001360INurse PractitionerTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4235$0
99214Established patient office or other outpatient visit, 30-39 minutes3026$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1111$0
View full utilization report →

Insurance plans in this area (ZIP 38017)

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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: 0941480131View full group profile
NameSpecialtyState
-TN
Internal Medicine, Preventive MedicineTN
-TN
Family PracticeTN
Internal MedicineTN
-MS
Nurse PractitionerTN
-TN
N E U R O L O G YTN
N E U R O L O G YTN

Reviews

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Frequently asked questions

What federal number belongs to CANDACE HARRIS (FNP-C)?
The federal identifier for CANDACE HARRIS (FNP-C) is NPI 1043636244.
Is CANDACE HARRIS (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CANDACE HARRIS (FNP-C) work in?
You can think of CANDACE HARRIS (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for CANDACE HARRIS (FNP-C)?
We surface Collierville, Tennessee for CANDACE HARRIS (FNP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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