Individual provider Active NPI

John Benjamin Harrison, APRN

  • Acute Care Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1467939975
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP137110 Issued in TX
Practice address
2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone
(903) 614-1000
NPI assigned
Jul 26, 2018
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181009000794 TX Practitioner - Nurse Practitioner 9537411277 Reassigns benefits to 4 organizations
I20220829000489 AR Practitioner - Nurse Practitioner 9537411277 Reassigns benefits to 1 organization

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
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
Southeast Texas Intensivists, PLLCGroup PAC ID 7810342672, 37 clinicians

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

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 12, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
Southeast Texas Intensivists, PLLC Nurse Practitioner CurrentSince Jul 22, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 12, 2022 Accepting new patients
North Texas Physician Services, PLLC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Mar 11, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.