LYDIA JIN HARRIS (AGACNP) – Acute Care Nurse Practitioner, NPI 1225522352

LYDIA JIN HARRIS (AGACNP) is a healthcare provider. based in Arlington, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. AP136538 (TX). The NPI Number for LYDIA JIN HARRIS (AGACNP) is 1225522352

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LYDIA JIN HARRIS (AGACNP)
NPI
1225522352
Phone
(817) 265-9700
Address
1132 S BOWEN RD
Enumeration Date
21 June 2018
Last Update Date
21 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172657115
Graduation Year
2017 (9 years ago)
PAC ID
9032514880
Group Practice PAC ID
7214910850
Professional Enrollment ID
I20210817004077
Address ID
TX760132204AR1138XRDXX400
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

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for LYDIA JIN HARRIS (AGACNP)

  • 1132, South Bowen Road, Arlington, Tarrant County, Texas, 76013, United States

    ARLINGTON, TX 760132204

    Phone: (817) 265-9700

    Fax: (817) 277-4164

    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 40 Open Payments records for all available years, with a total value of $1,032.

Total Amount is formed as General ($1,032) + Research ($0) + Ownership ($0) = $1,032.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($155).

Total Amount

$1,032

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,032

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2021-08-17

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
I20210817004077INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76013)

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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: 7214910850View full group profile
NameSpecialtyState
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
-TX

Reviews

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Frequently asked questions

What identifier follows LYDIA JIN HARRIS (AGACNP) across health systems?
The NPI 1225522352 uniquely identifies LYDIA JIN HARRIS (AGACNP) in U.S. healthcare data.
Is LYDIA JIN HARRIS (AGACNP) currently accepting referrals based on NPI status?
Registry metadata lists LYDIA JIN HARRIS (AGACNP) as active.
What does the directory say LYDIA JIN HARRIS (AGACNP) does?
Insurance directories may phrase it differently, but here LYDIA JIN HARRIS (AGACNP) maps to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LYDIA JIN HARRIS (AGACNP)?
LYDIA JIN HARRIS (AGACNP) is associated with Arlington, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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