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DR. JACLYN HARRIS D.O.
NPI 1073047601
Internal Medicine in Peoria, AZ

Active since April 20, 2017PECOS Enrolled
10210 W HAPPY VALLEY PKWY STE 140, PEORIA, AZ 85383(623) 303-2273(623) 304-1312 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 27, 2020, May 13, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Jaclyn Harris D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN HARRIS D.O. (NPI 1073047601) is an individual internal medicine provider in Peoria, Arizona, licensed in Arizona (010864) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073047601
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACLYN HARRISCredential: D.O.
Location Address10210 W HAPPY VALLEY PKWY STE 140Peoria, AZ 85383-2881
Mailing Address1846 E Innovation Park DrOro Valley, AZ 85755-1963 · (623) 303-2273 · Fax (623) 304-1312
Phone(623) 303-2273
Fax(623) 304-1312
Sole ProprietorNo
Enumeration DateApril 20, 2017
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1073047601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 010864✔ Licensed in TX · S1408
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10210 W HAPPY VALLEY PKWY STE 140, Peoria, AZ 85383
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaclyn Harris D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$43.01 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$12.87 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers16 claims84 services$2.02 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$31.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers33 claims33 services$193.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA MARTIN
Counselor
10210 W HAPPY VALLEY PKWY STE 140
PEORIA, AZ 85383
Maricopa County (623) 202-2521

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 Jaclyn Harris's NPI number?

The NPI number for Jaclyn Harris is 1073047601. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Jaclyn Harris located?

Jaclyn Harris practices at 10210 W Happy Valley Pkwy Ste 140, Peoria, AZ 85383. The listed phone number is (623) 303-2273.

What is Jaclyn Harris's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jaclyn Harris enrolled in Medicare?

Yes. Jaclyn Harris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Harris was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.