KELLY E HARNESS (NP) – Nurse Practitioner, NPI 1154432003
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for KELLY E HARNESS (NP)
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
344 OVERLOOK DR STE 200
LEBANON, VA 242663436
Phone: (276) 883-5900
Type: Location
1497 W Elk Ave Ste 11
Elizabethton, TN 376432896
Phone: (423) 542-8929
Type: Location
4600 Fort Henry Dr
Kingsport, TN 376632617
Phone: (423) 224-3950
Type: Location
743 Island Rd
Bristol, VA 242017403
Phone: (276) 469-4200
Type: Location
671 Highway 58 E
Norton, VA 242733007
Phone: (276) 679-5874
Type: Location
108 Park Ave
Banner Elk, NC 286046604
Phone: (828) 783-9183
Fax: (828) 783-9184
Type: Location
10130 Perimeter Pkwy Ste 200
Charlotte, NC 282160197
Phone: (888) 849-7379
Fax: (855) 857-7333
Type: Location
240 College St
Bourbon, MO 654418308
Phone: (573) 732-5140
Fax: (573) 732-5689
Type: Location
111 W Stone Dr Ste 110
Kingsport, TN 376606027
Phone: (423) 224-3701
Type: Location
601 Commonwealth Dr
Norton, VA 242734053
Phone: (276) 679-6028
Type: Location
Perimeter Parkway, Northlake, Charlotte, Mecklenburg County, North Carolina, 28087, United States
CHARLOTTE, NC 282160197
Phone: (888) 849-7379
Fax: (855) 857-7333
Type: Mailing
509 MED TECH PKWY STE 100
JOHNSON CITY, TN 376042579
Phone: (423) 302-6565
Fax: (423) 952-2175
Type: Mailing
108 PARK AVE
BANNER ELK, NC 286046604
Phone: (828) 783-9183
Fax: (828) 783-9184
Type: Location
111 W STONE DR STE 110
KINGSPORT, TN 376606027
Phone: (423) 224-3701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040331000447 | I | Nurse Practitioner | MO | TBD |
| I20180810002280 | I | Nurse Practitioner | NC | TBD |
| I20220303001160 | I | Nurse Practitioner | VA | TBD |
| I20221229001731 | I | Nurse Practitioner | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 130 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 81003 | Automated urinalysis test | 24 | 23 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 19 | 18 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 15 | 15 | $0 |
Insurance plans in this area (ZIP 37604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 81002 | Urinalysis, manual test | 40 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MD | |
| Physician Assistant | TN | |
| - | VA | |
| - | TN | |
| Anesthesiology, Pain Management | TN | |
| Pediatric Medicine | TN | |
| - | VA | |
| N E P H R O L O G Y | VA | |
| Physician Assistant | TN | |
| - | TN |
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