Individual provider Active NPI

Maresah Harris, NP

  • Acute Care Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1558072611
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1114340 Issued in TX
Practice address
18515 Bridgeland Creek Pkwy Apt 1015
Cypress, TX 77433-6873
Phone
(832) 612-6875
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 766723 TX
Acute Care Nurse Practitioner 363LA2100X 1114340 TX Primary

Addresses

Primary practice location

18515 Bridgeland Creek Pkwy Apt 1015
Cypress, TX 77433-6873

Mailing address

18515 Bridgeland Creek Pkwy Apt 1015
Cypress, TX 77433-6873
Phone (832) 612-6875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241021000573 TX Practitioner - Nurse Practitioner 5991237513 Reassigns benefits to 4 organizations

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
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians
Visionary Wound Rehab PLLCGroup PAC ID 1355848771, 2 clinicians

Practice addresses (Care Compare)

204 Walter St
Yoakum, TX 77995-1720
Phone (312) 945-7444

411 Lantern Bend Dr
Suite 100E
Houston, TX 77090-2839
Phone (832) 944-5221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
766723TXMDRegistered Nurse
1114340TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beat AIDS Coalition Trust CurrentSince Jun 22, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Feb 1, 2025 Accepting new patients
Beat AIDS Coalition Trust CurrentSince Jun 22, 2024 Accepting new patients
Camp Medical Management, LLC CurrentSince May 1, 2025 Accepting new patients
Madsen Medical, LLC CurrentSince May 1, 2025 Accepting new patients
Hydration Station Beauty & Wellness CurrentSince Aug 3, 2025 Accepting new patients
Harris Healthcare Services PLLC Acute Care CurrentSince Sep 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

17505 Telge Rd
Ste 102
Cypress, TX 77429
Phone (832) 302-9765

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

11910 Richmond Ave
Houston, TX 77082
Phone (281) 497-2838

2000 Crawford St
Ste 106
Houston, TX 77002

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

620 James Dr
Richardson, TX 75080
Phone (972) 238-1976

208 W Spring Valley Rd
Richardson, TX 75081
Phone (972) 238-1976

2602 N Main Ave
San Antonio, TX 78212
Phone (210) 212-2266

507 West Ave
Schulenburg, TX 78956
Phone (979) 743-4150

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

204 Walter St
Yoakum, TX 77995
Phone (361) 293-2544

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1558072611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18515 BRIDGELAND CREEK PKWY APT 1015",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336873",
            "telephone_number": "832-612-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18515 BRIDGELAND CREEK PKWY APT 1015",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336873",
            "telephone_number": "832-612-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARESAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "766723",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1114340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.