KELLI D'ANN HARRIS (MSN, RN, AGACNP) – Nurse Practitioner, NPI 1245720838

KELLI D'ANN HARRIS (MSN, RN, AGACNP) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, AGACNP. They hold a License No. AP137001 (TX). The NPI Number for KELLI D'ANN HARRIS (MSN, RN, AGACNP) is 1245720838

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLI D'ANN HARRIS (MSN, RN, AGACNP)
NPI
1245720838
Phone
(806) 761-0566
Address
808 JOLIET AVE UNIT 220
Enumeration Date
18 May 2018
Last Update Date
1 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067492222
Graduation Year
2017 (9 years ago)
PAC ID
4981951050
Group Practice PAC ID
7315271400
Professional Enrollment ID
I20180719003415
Address ID
TX794151304LU4302XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KELLI D'ANN HARRIS (MSN, RN, AGACNP)

  • 808 JOLIET AVE UNIT 220

    LUBBOCK, TX 79415

    Phone: (806) 761-0566

    Fax: (806) 744-7252

    Type: Location

  • 5406 Colgate Street

    Lubbock, TX 79416

    Phone: (806) 507-3500

    Type: Location

  • City Bank Parkway, Lubbock, Lubbock County, Texas, 79414, United States

    LUBBOCK, TX 794073545

    Phone: (806) 761-0333

    Fax: (806) 782-0097

    Type: Mailing

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: 2018-07-19

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
I20180719003415INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,452184$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes236117$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes190178$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10082$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2717$0
View full utilization report →

Insurance plans in this area (ZIP 79415)

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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: 7315271400View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

What NPI should I save for KELLI D'ANN HARRIS (MSN, RN, AGACNP)?
Save NPI 1245720838 if you need a stable reference for KELLI D'ANN HARRIS (MSN, RN, AGACNP).
Is KELLI D'ANN HARRIS (MSN, RN, AGACNP)'s NPI currently valid?
The extract we use shows KELLI D'ANN HARRIS (MSN, RN, AGACNP) as active.
Does KELLI D'ANN HARRIS (MSN, RN, AGACNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KELLI D'ANN HARRIS (MSN, RN, AGACNP). Clinical services aligned with this taxonomy classification.
Does KELLI D'ANN HARRIS (MSN, RN, AGACNP) practice in Texas?
You will see Lubbock, Texas on file for KELLI D'ANN HARRIS (MSN, RN, AGACNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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