Lisa M Harris, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1500851 Issued in KS

Practice address

2131 N Ridge Rd
Wichita, KS 67212-1570

Phone

(316) 773-1212

Fax

(316) 729-1385

NPI assigned

May 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Market Health Care LLCGroup PAC ID 6507770583, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lisa.harris@khindirect.org
• Direct secure messaging: lisa.harris@nmhc.eclinicaldirectplus.com

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.

• New Market Health Care LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1881644540
  Medicare reassignment Care Compare group
• Lincoln County Hospital

  • Rural Health Clinic/Center
  • Lincoln, KS
  • NPI 1841248952
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1801847975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N RIDGE RD",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121571",
            "telephone_number": "316-648-1157",
            "fax_number": "316-440-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121570",
            "telephone_number": "316-773-1212",
            "fax_number": "316-729-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1500851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100424600C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "426809",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Djuna M Harris
• Jonathan Y Harris, PT
• Judith Kay Harris
• Kari Rene Harris, MD
• Kyle Lewis Harris, MD
• Matthew David Harris, DO
• Michelle Layne Harris, LSCSW, LCAC
• Patricia Sue Harris, ARNP
• Paul Harris, DDS
• Shelby L Harris, DNAP CRNA

• Medical Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.