Kimberly Stephenia Harris, FNP, PMHNP - Medicare Nurse Practitioner in Concord, NC

Kimberly Stephenia Harris, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Concord, North Carolina. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alamance Regional Medical Center Inc, The Moses H Cone Memorial Hospital Operating Corporation and her current practice location is 284 Executive Park Dr Ste 100, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 939-1100.

Kimberly Stephenia Harris is licensed to practice in North Carolina (license number 5009565) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760919187.

Contact Information

Kimberly Stephenia Harris, FNP, PMHNP
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833
(704) 939-1100
(704) 939-1173

Map and Direction




Provider's Profile

Full NameKimberly Stephenia Harris
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location284 Executive Park Dr Ste 100, Concord, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Stephenia Harris graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1760919187
  • Provider Enumeration Date: 05/16/2017
  • Last Update Date: 11/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951677590
  • Enrollment ID: I20171025002950

Medical Identifiers

Medical identifiers for Kimberly Stephenia Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760919187NPI-NPPES
19SN9OtherNCBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 270275 (North Carolina)Secondary
363L00000XNurse Practitioner 5009565 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5009565 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Moses H. Cone Memorial Hospital, TheGreensboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alamance Regional Medical Center Inc529464714551
The Moses H Cone Memorial Hospital Operating Corporation6204744600599

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Stephenia Harris allows following entities to bill medicare on her behalf.
Entity NameAlamance Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326010273
PECOS PAC ID: 5294647145
Enrollment ID: O20040504000878
Entity NameHolly Hill Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518037233
PECOS PAC ID: 7810806650
Enrollment ID: O20070831000699
Entity NameMcpc-8 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922552322
PECOS PAC ID: 3870740012
Enrollment ID: O20120823000423
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013265909
PECOS PAC ID: 6204744600
Enrollment ID: O20121003000518
Entity NameMcpc-11 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841635455
PECOS PAC ID: 1153564877
Enrollment ID: O20130828000793
Entity NameCarolina Quickcare Family Practice, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881360899
PECOS PAC ID: 0840682340
Enrollment ID: O20220113000087

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Stephenia Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Stephenia Harris, FNP, PMHNP
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833

Ph: (704) 939-1100
Kimberly Stephenia Harris, FNP, PMHNP
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833

Ph: (704) 939-1100

Reviews and Comments


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Kimberly Smith Gallagher, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.