Individual provider Active NPI

Jewel Harris, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Utica, NY
National Provider Identifier
1972875755
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178707 Issued in VA
Practice address
111 Hospital Dr
Utica, NY 13502-2517
Phone
(315) 917-9966
Fax
(315) 234-4034
NPI assigned
Feb 8, 2012
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178707 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27582 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95040810 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005494 NC

Addresses

Primary practice location

111 Hospital Dr
Utica, NY 13502-2517

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

103 Valley Center Dr
Staunton, VA 24401-5080
Phone (540) 332-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120420000681 NC Practitioner - Nurse Practitioner 6002077831 Reassigns benefits to 7 organizations
I20260619001351 NY Practitioner - Nurse Practitioner 6002077831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians
Mindpath Care Centers North Carolina PLLCGroup PAC ID 4688655517, 115 clinicians

Practice addresses (Care Compare)

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

502 Red Banks Rd
Suite a
Greenville, NC 27858-5751
Phone (252) 758-4810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005494NCMDPsychiatric/Mental Health Nurse Practitioner
27582SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Jan 7, 2025 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Spring Life Behavioral Care LLC CurrentSince Feb 8, 2020 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Psychiatric/Mental Health CurrentSince Jan 8, 2025 Accepting new patients
Garner Behavioral Hospital, LLC CurrentSince Oct 16, 2025 Accepting new patients
Brynn Marr Hospital Inc CurrentSince Apr 21, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Jan 30, 2023 Accepting new patients
Forefront-Matteson Medical Services PC CurrentSince May 10, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Jan 30, 2023 Accepting new patients
Metro Medical House Calls,PC Past Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

100 N 6th St
Ste 900A
Minneapolis, MN 55403

4 Doctors Park
Ste H
Asheville, NC 28801
Phone (828) 633-6070

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

16740 Davidson Concord Rd
Ste 200
Davidson, NC 28036
Phone (704) 444-5881

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

502 Red Banks Rd
Ste A
Greenville, NC 27858
Phone (252) 758-4810

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

109 Long Cir
Roanoke Rapids, NC 27870
Phone (252) 535-6400

Interoperability endpoints

  • Direct secure messaging: mpsc.jewel.harris@114018.advancedmd-direct.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1972875755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022517",
            "telephone_number": "315-917-9966",
            "fax_number": "315-234-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Valley Center Dr",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244015080",
            "country_code": "US",
            "telephone_number": "540-332-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEWEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178707",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27582",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95040810",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.