Individual provider Active NPI

Elizabeth Dawn Harris, FNP-BC

  • Nurse Practitioner
  • Lamar, MO
National Provider Identifier
1033817028
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2023006099 Issued in MO
Practice address
29 NW 1St LN
Lamar, MO 64759-8105
Phone
(417) 681-5266
NPI assigned
Feb 20, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2023006099 MO Primary

Addresses

Primary practice location

29 NW 1St LN
Lamar, MO 64759-8105

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice location 1

403 main st
golden city, MO 64748
Phone (417) 681-5264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230424000349 MO Practitioner - Nurse Practitioner 5092170225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton County Memorial HospitalGroup PAC ID 2365333234, 19 clinicians
CBCH LLCGroup PAC ID 6406116797, 19 clinicians
Cox Barton County HospitalGroup PAC ID 8820329782, 30 clinicians

Practice addresses (Care Compare)

29 NW 1St LN
Lamar, MO 64759-8105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Barton County Hospital CurrentSince May 22, 2023 Accepting new patients
Cox Barton County Hospital CurrentSince May 22, 2023 Accepting new patients
Barton County Memorial Hospital Past Accepting new patients

Locations

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

403 N Main St
Salem, MO 65560
Phone (417) 537-4311

Networks

  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1033817028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 main st",
            "address_purpose": "LOCATION",
            "city": "golden city",
            "state": "MO",
            "postal_code": "64748",
            "country_code": "US",
            "telephone_number": "417-681-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023006099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

Verify at the official NPI Registry.