Active NPI
John Benjamin Harrison, APRN
- Acute Care Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP137110
- Practice address
- 2600 Saint Michael Dr
Texarkana, TX 75503-5220 - Phone
- (903) 614-1000
- NPI assigned
- Jul 26, 2018
- Last updated
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 220803 | AR | |
| Acute Care Nurse Practitioner | 363LA2100X | AP137110 | TX | Primary |
Addresses
Primary practice location
2600 Saint Michael Dr
Texarkana, TX 75503-5220
Mailing address
4110 Rustin Cir
Texarkana, AR 71854-1962
Phone (870) 397-3818
Other practice location 1
805 Trinity Dr
Hope, AR 71801-3621
Phone (870) 722-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Southeast Texas Intensivists, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| North Texas Physician Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Nurse Practitioner | Current | Accepting new patients |
Locations
805 Trinity Dr
Ste D
Hope, AR 71801
Phone (870) 722-1020
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- jharrison310167@christushealth.direct-ci.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
Nurse Practitioner
-
- Critical Care Medicine (Internal Medicine) Physician
- Beaumont, TX
- NPI 1801579867
Nurse Practitioner
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
AR
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Nurse Practitioner
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Nurse Practitioner
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- Critical Access Hospital
- De Queen, AR
- NPI 1386367506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1467939975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 RUSTIN CIR",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541962",
"telephone_number": "870-397-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SAINT MICHAEL DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035220",
"telephone_number": "903-614-1000"
}
],
"practiceLocations": [
{
"address_1": "805 Trinity Dr",
"address_purpose": "LOCATION",
"city": "Hope",
"state": "AR",
"postal_code": "718013621",
"country_code": "US",
"telephone_number": "870-722-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "JOHN",
"middle_name": "BENJAMIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "220803",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP137110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.