DR. KHEALYNN FERNELIUS HARRIS DMD
NPI 1083090567
Dentist - General Practice in Yelm, WA

Q: What is Khealynn Harris's NPI number?

The NPI number for Khealynn Harris is 1083090567. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Q: What is Khealynn Harris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Khealynn Harris was last updated on October 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 06, 2015PECOS Enrolled

202 CULLENS ST NW, YELM, WA 98597(801) 857-8001 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Khealynn Fernelius Harris Dmd NPPES

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

DR. KHEALYNN FERNELIUS HARRIS DMD (NPI 1083090567) is an individual general practice provider in Yelm, Washington, licensed in Washington (DE60586603) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083090567

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KHEALYNN FERNELIUS HARRISCredential: DMD

Location Address202 CULLENS ST NWYelm, WA 98597-9417

Mailing Address202 Cullens St NwYelm, WA 98597-9417 · (801) 857-8001

Phone(801) 857-8001

Sole ProprietorNo

Enumeration DateAugust 6, 2015

Last NPPES UpdateOctober 19, 2015

✔ NPI 1083090567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE60586603

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

202 CULLENS ST NW, Yelm, WA 98597

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Hawaii Dental Service.Insurance ›

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. Khealynn Fernelius Harris Dmd 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 98597 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SEA-MAR COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))