Reanna Harris, - Medicare Nurse Practitioner in Broken Arrow, OK

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Reanna Harris, is a medicare enrolled "Nurse Practitioner - Family" in Broken Arrow, Oklahoma. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rooted Remedies, Llc, Pure Flow Wellness Llc, Hillcrest Urgent Care, Llc and her current practice location is 1215 N Birch Ave, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 960-0926.

Reanna Harris is licensed to practice in Oklahoma (license number 223739) 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 1619863545.

Contact Information

Reanna Harris,
1215 N Birch Ave,
Broken Arrow, OK 74012-2690
(918) 960-0926
Not Available

Map and Direction




Provider's Profile

Full NameReanna Harris
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location1215 N Birch Ave, Broken Arrow, Oklahoma
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:
  • Reanna Harris graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1619863545
  • Provider Enumeration Date: 06/16/2025
  • Last Update Date: 06/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456850874
  • Enrollment ID: I20250814001250

Medical Identifiers

Medical identifiers for Reanna Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619863545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 223739 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John Rehab Hospital Of Broken ArrowBroken arrow, OKInpatient rehabilitation facility

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rooted Remedies, Llc70124164722
Pure Flow Wellness Llc78104962212
Hillcrest Urgent Care, Llc660839371541

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. Reanna Harris allows following entities to bill medicare on her behalf.
Entity NameEnnoble HC NJ PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306500764
PECOS PAC ID: 0345638185
Enrollment ID: O20240910002533
Entity NameHillcrest Urgent Care, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417769829
PECOS PAC ID: 6608393715
Enrollment ID: O20250512001402
Entity NamePure Flow Wellness LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992692743
PECOS PAC ID: 7810496221
Enrollment ID: O20250814000864
Entity NameRooted Remedies, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821985680
PECOS PAC ID: 7012416472
Enrollment ID: O20250814001886
Entity NameEnnoble HC NJ III PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043192099
PECOS PAC ID: 5294238531
Enrollment ID: O20250912001618
Entity NameEnnoble HC NJ II PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871475806
PECOS PAC ID: 9638672819
Enrollment ID: O20250912002050

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. Reanna 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
Reanna Harris,
1215 N Birch Ave,
Broken Arrow, OK 74012-2690

Ph: (918) 960-0926		Reanna Harris,
1215 N Birch Ave,
Broken Arrow, OK 74012-2690

Ph: (918) 960-0926

Reviews and Comments


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Ms. Kyndal Renee' Stevens, APRN-CNP
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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.