Active NPI
Jerrus Harris, FNP-C
- Family Nurse Practitioner
- Chickasha, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 80754
- Practice address
- 2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736 - Phone
- (405) 224-2100
- Fax
- (405) 779-2244
- NPI assigned
- May 27, 2015
- Last updated
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 80754 | OK | Primary |
Addresses
Primary practice location
2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Mailing address
2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone (405) 224-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200591650A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Williams Medical Group Practice, LLC
Practice addresses (Care Compare)
1303 N Washington St
Xpress Wellness Urgent Care
Weatherford, OK 73096-2443
Phone (580) 772-2820
201 E Parker McKenzie Dr
Anadarko, OK 73005-5009
Phone (405) 247-7900
220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355
411 W Grand Ave
Chickasha, OK 73018-5862
Phone (405) 224-0053
4296 N Harrison St
Xpress Wellness Urgent Care
Shawnee, OK 74804-1413
Phone (405) 788-4102
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Carnegie Indian Health Center | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Lawton Indian Hospital | Past | Accepting new patients |
Locations
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100
411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053
1120 N Highway 81
Duncan, OK 73533
Phone (580) 606-6201
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
Organizations & group practices 5
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.
-
dba Integrity Urgent Care
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
dba Integrity Urgent Care
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- General Acute Care Hospital
- Chickasha, OK
- NPI 1538169198
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1245619006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W IOWA AVE",
"address_2": "SUITE A",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182736",
"telephone_number": "405-224-2100",
"fax_number": "405-779-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W IOWA AVE",
"address_2": "SUITE A",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182736",
"telephone_number": "405-224-2100",
"fax_number": "405-779-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JERRUS",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "80754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200591650A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.