Individual provider Active NPI

Ellen Denise Harris, FNP-BC

  • Family Nurse Practitioner
  • Waianae, HI
National Provider Identifier
1679916738
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022951 Issued in NC
Practice address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone
(808) 697-3300
Fax
(808) 697-3687
NPI assigned
Apr 9, 2013
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1517 HI
Family Nurse Practitioner 363LF0000X 201505056NP-PP OR
Family Nurse Practitioner 363LF0000X 5022951 NC Primary

Addresses

Primary practice location

86-260 Farrington Hwy
Waianae, HI 96792-3128

Mailing address

PO Box 894121
Mililani, HI 96789-8121
Phone (808) 389-9055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eharris1363665@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MI, WA, CA, MS, TN, IA, NC, WI9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20151008001039 OR Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 5 organizations
I20160519000249 MI Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization
I20170316002266 WA Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization
I20181205000091 CA Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization
I20240305003499 MS Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 2 organizations
I20250710002182 TN Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization
I20250801001027 IA Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization
I20250924000372 NC Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization
I20251021000063 WI Practitioner - Nurse Practitioner 1951540947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Apogee Medical Group North CarolinaGroup PAC ID 7719162254, 78 clinicians
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17344WIMDPharmacist
5022951NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina CurrentSince Aug 28, 2025 Accepting new patients
Apogee Medical Group, Michigan, PC CurrentSince Jul 3, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 8, 2025 Accepting new patients
Salem Health Current Accepting new patients
Collaborativenp Health Center LLC Family CurrentSince Feb 16, 2024 Accepting new patients
McKenzie Physician Services LLC CurrentSince Aug 6, 2018 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 8, 2025 Accepting new patients
Last Frontier Healthcare District CurrentSince Sep 14, 2018 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Aug 4, 2020 Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Apogee Medical Group Tennessee PC CurrentSince Jul 1, 2025 Accepting new patients
Apogee Medical Group Iowa PC CurrentSince Jul 1, 2025 Accepting new patients
Greenbrook Physician Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Apogee Medical Group PC CurrentSince Mar 1, 2025 Accepting new patients
Cogent Healthcare of Washington, PC CurrentSince Mar 1, 2020 Accepting new patients
Apogee Medical Group PC CurrentSince Mar 1, 2025 Accepting new patients
Northwest Hospital Medicine Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Stephen T Foley MD LLC PastSince May 5, 2013 Accepting new patients
Gordon C. Ontai, M.D., Inc. Past Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

228 W McDowell Ave
Alturas, CA 96101
Phone (530) 233-5131

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

29980 Network Pl
Chicago, IL 60673

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Interoperability endpoints

  • Direct secure messaging: eharris1363665@oc.providencedirect.org
  • Direct secure messaging: eharris707083@direct.bmhcc.org
  • Direct secure messaging: harrised@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDDDD/Endpoint/DHDDDD

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1679916738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894121",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967898121",
            "telephone_number": "808-389-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3300",
            "fax_number": "808-697-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELLEN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201505056NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eharris1363665@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1111 Crater Lake Ave",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.