Individual provider Active NPI

Patrice Nicole Harris, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1790440717
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024778 Issued in PA
Practice address
925 Chestnut St FL 5
Philadelphia, PA 19107-4206
Phone
(800) 321-9999
Fax
(215) 503-0580
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 RN606146 PA
Nurse Practitioner 363L00000X SP024778 PA Primary

Addresses

Primary practice location

925 Chestnut St FL 5
Philadelphia, PA 19107-4206

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Other practice location 1

325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

Other practice location 2

101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2649
Phone (973) 241-1356

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
I20211202003129 PA Practitioner - Nurse Practitioner 0648660795 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN606146PAMDRegistered Nurse
SP024778PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince Jan 6, 2026 Accepting new patients
Harris Holistic Health & Counseling CurrentSince Nov 1, 2025 Accepting new patients
Ennoble HC NJ III PC CurrentSince Dec 7, 2025 Accepting new patients
Ennoble HC NJ II PC CurrentSince Dec 7, 2025 Accepting new patients
McPherson Clinical & Consulting Services Past Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356

325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356

Organizations & group practices 5

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1790440717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074206",
            "telephone_number": "800-321-9999",
            "fax_number": "215-503-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Chestnut St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062608",
            "country_code": "US",
            "telephone_number": "973-241-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Greenwood Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462649",
            "country_code": "US",
            "telephone_number": "973-241-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PATRICE",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN606146",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.