KHADIDJA LATISE HARRELL M.D.
NPI 1013174218
Pediatrics in Joint Base Lewis Mcchord, WA
About Khadidja Latise Harrell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHADIDJA LATISE HARRELL M.D. (NPI 1013174218) is an individual pediatrics provider in Joint Base Lewis Mcchord, Washington, licensed in Washington (60935910) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khadidja Latise Harrell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Khadidja Harrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98438 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOINT BASE LEWIS MCCHORD, WA 98438
JOINT BASE LEWIS MCCHORD, WA 98438
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Khadidja Harrell's NPI number?
The NPI number for Khadidja Harrell is 1013174218. It was assigned to this individual provider in the NPPES registry on May 16, 2008.
Where is Khadidja Harrell located?
Khadidja Harrell practices at 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438. The listed phone number is (253) 982-5688.
What is Khadidja Harrell's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Khadidja Harrell enrolled in Medicare?
Yes. Khadidja Harrell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Khadidja Harrell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khadidja Harrell reassigns Medicare benefits to Association Of Chmc And University Physicians (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khadidja Harrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khadidja Harrell accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Khadidja Harrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Khadidja Harrell was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Khadidja Latise Harrell, M.D. · NPI 1013174218
Pediatrics physician in Joint Base Lewis Mcchord, Washington. Individual provider, active in the CMS NPPES registry since May 16, 2008.
## Identity
- **NPI:** 1013174218 (Entity type: Individual)
- **Enumerated:** May 16, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 60935910 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 690 BARNES BLVD, Joint Base Lewis Mcchord, WA 98438-1303
- **Phone:** (253) 982-5688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Association Of Chmc And University Physicians (NPI 1215153671, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013174218) · Data from the CMS NPPES public registry.