Individual provider Active NPI

Alyson M Harris

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1679311120
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030164 Issued in PA
Practice address
4247 W Ridge Rd Ste 101
Erie, PA 16506-1746
Phone
(814) 835-2580
Fax
(814) 835-2590
NPI assigned
Jul 18, 2024
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 RN596907 PA
Nurse Practitioner 363L00000X SP030164 PA Primary

Addresses

Primary practice location

4247 W Ridge Rd Ste 101
Erie, PA 16506-1746

Mailing address

4247 W Ridge Rd Ste 101
Erie, PA 16506-1746
Phone (814) 835-2580

Other practice location 1

232 W 25th St
Erie, PA 16544-0002
Phone (814) 452-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250117002158 PA Practitioner - Nurse Practitioner 1456880574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4247 W Ridge Rd
101 Ahn Saint Vincent Express Care West
Erie, PA 16506-1746
Phone (814) 835-2580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN596907PAMDNurse Practitioner
SP030164PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Nov 19, 2024 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

4247 W Ridge Rd
Ste 101
Erie, PA 16506
Phone (814) 835-2580

Interoperability endpoints

  • Direct secure messaging: aharris150300@direct.ahn.org

Organizations & group practices 2

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 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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1679311120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-835-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-835-2580",
            "fax_number": "814-835-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165440002",
            "country_code": "US",
            "telephone_number": "814-452-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALYSON",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN596907",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.