Michelle Lynn Harris, APRN, PMHNP in Waterford, CT

Michelle Lynn Harris, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waterford, Connecticut. Her current practice location is 567 Vauxhall Street Ext Ste 304, Waterford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 373-7170.

Michelle Lynn Harris is licensed to practice in Connecticut (license number 12.008785) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215563168.

Contact Information

	Michelle Lynn Harris, APRN, PMHNP
	567 Vauxhall Street Ext Ste 304, Waterford, CT 06385-4341
	(860) 373-7170
	(833) 392-1165

Map and Direction

Provider's Profile

Full Name	Michelle Lynn Harris
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	567 Vauxhall Street Ext Ste 304, Waterford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215563168
Provider Enumeration Date: 03/22/2020
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 8628494077
Enrollment ID: I20200811003847

Medical Identifiers

Medical identifiers for Michelle Lynn Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215563168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	12.008785 (Connecticut)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2379421 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404840 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	101.0135987 (Vermont)	Secondary

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. Michelle Lynn Harris allows following entities to bill medicare on her behalf.

Entity Name	Valera Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871248757 PECOS PAC ID: 6406238310 Enrollment ID: O20220929001879

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. Michelle Lynn 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 Address	Practice Location Address
Michelle Lynn Harris, APRN, PMHNP 567 Vauxhall Street Ext Ste 304, Waterford, CT 06385-4341 Ph: (860) 373-7170	Michelle Lynn Harris, APRN, PMHNP 567 Vauxhall Street Ext Ste 304, Waterford, CT 06385-4341 Ph: (860) 373-7170

Reviews and Comments

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Jessie R Baudner, ANP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385 Phone: 860-447-2489 Fax: 860-437-1231

Michelle Lynn Harris, APRN, PMHNP - Medicare Nurse Practitioner in Waterford, CT