Individual provider Active NPI

Kirsti Harris

  • Physician Assistant
  • New Bern, NC
National Provider Identifier
1114793221
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2330 Issued in AL
Practice address
2818 Neuse Blvd
New Bern, NC 28562-2850
Phone
(252) 636-4920
NPI assigned
Nov 29, 2023
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.2330 AL Primary

Addresses

Primary practice location

2818 Neuse Blvd
New Bern, NC 28562-2850

Mailing address

1413 Comet Dr
New Bern, NC 28562-1108
Phone (850) 557-0643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241007000807 NC Practitioner - Physician Assistant 9638600257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida State University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craven CountyGroup PAC ID 3678626579, 4 clinicians

Practice addresses (Care Compare)

2818 Neuse Blvd
Suite 1
New Bern, NC 28562-2850

2818 Neuse Blvd
Suite 1
New Bern, NC 28562-2851
Phone (252) 636-4930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.2330ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Craven County CurrentSince Aug 2, 2024 Accepting new patients
Craven County CurrentSince Aug 2, 2024 Accepting new patients

Locations

508 US Highway 70 W
Havelock, NC 28532
Phone (252) 444-1533

2818 Neuse Blvd
New Bern, NC 28562
Phone (252) 636-4920

2818 Neuse Blvd
Ste 1
New Bern, NC 28562
Phone (252) 636-4920

Interoperability endpoints

  • Direct secure messaging: kharris@cchd.curemd.direct-ci.com

Organizations & group practices 2

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1114793221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 COMET DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285621108",
            "telephone_number": "850-557-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622850",
            "telephone_number": "252-636-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIRSTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.