Individual provider Active NPI

Kevin Ray Harsh, FNP-BC

  • Family Nurse Practitioner
  • La Junta, CO
National Provider Identifier
1639450356
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
990187 Issued in CO
Practice address
318 Lacey Ave
La Junta, CO 81050-2039
Phone
(719) 384-0303
NPI assigned
Sep 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 990187 CO Primary

Addresses

Primary practice location

318 Lacey Ave
La Junta, CO 81050-2039

Mailing address

318 Lacey Ave
La Junta, CO 81050-2039
Phone (719) 384-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20121226000059 CO Practitioner - Nurse Practitioner 5395998397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Community Health Center IncorporatedGroup PAC ID 8527031533, 23 clinicians
Ryon Medical and Associates, LLCGroup PAC ID 3577714294, 3 clinicians

Practice addresses (Care Compare)

201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261

318 Lacey Ave
La Junta, CO 81050-2039
Phone (719) 384-0303

Hospital & facility affiliations

  • Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
990187COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Community Health Center Incorporated CurrentSince Nov 25, 2024 Accepting new patients
High Plains Community Health Center, Incorporated CurrentSince Nov 25, 2024 Accepting new patients

Locations

201 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261

200 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261

Organizations & group practices 3

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.

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1639450356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 LACEY AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502039",
            "telephone_number": "719-384-0303",
            "fax_number": "719-384-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 LACEY AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502039",
            "telephone_number": "719-384-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSH",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "990187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.