Mrs Kellie Lynn Harris, FNP-BC in Montgomery, OH

Mrs Kellie Lynn Harris, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Montgomery, Ohio. Her current practice location is 9549 Montgomery Rd, Montgomery, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 745-0124.

Mrs Kellie Lynn Harris is licensed to practice in Ohio (license number APRN.CNP.0032190) 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 1417671470.

Contact Information

	Mrs Kellie Lynn Harris, FNP-BC
	9549 Montgomery Rd, Montgomery, OH 45242-7238
	(513) 745-0124
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kellie Lynn Harris
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9549 Montgomery Rd, Montgomery, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417671470
Provider Enumeration Date: 10/03/2022
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0648636720
Enrollment ID: I20230515003355

Medical Identifiers

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

Identifier	Type	State	Issuer
1417671470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0032190 (Ohio)	Primary

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

Entity Name	Cg Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216

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. Mrs Kellie 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
Mrs Kellie Lynn Harris, FNP-BC 12058 Brookway Dr, Cincinnati, OH 45240-1466 Ph: (513) 614-3887	Mrs Kellie Lynn Harris, FNP-BC 9549 Montgomery Rd, Montgomery, OH 45242-7238 Ph: (513) 745-0124

Reviews and Comments

Nurse Practitioner Nurses in Montgomery, OH

Taylor Smith, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Montgomery Rd Ste 6345, Montgomery, OH 45242 Phone: 513-865-5167 Fax: 513-865-5175
Mrs. Rachel Lynn Derenski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd Ste 300, Montgomery, OH 45242 Phone: 513-865-5120 Fax: 513-246-4047
Mrs. Courtney Kissel, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10547 Montgomery Rd # 700, Montgomery, OH 45242 Phone: 888-830-0347
Mrs. Erica Shawnta Mitchell, AGACNP- BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10600 Montgomery Rd Ste 300, Montgomery, OH 45242 Phone: 513-853-9250 Fax: 513-281-1908
Jeanna Marie Osborn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-5050
Deana M Roper, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-246-2342
Mrs. Lauren Marie Janowak, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 304b, Montgomery, OH 45242 Phone: 513-853-9000 Fax: 513-624-2964

Mrs Kellie Lynn Harris, FNP-BC - Medicare Nurse Practitioner in Montgomery, OH