DAVID HARLESS NP-C
NPI 1174262596
Nurse Practitioner in Washington, UT
About David Harless Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID HARLESS NP-C (NPI 1174262596) is an individual nurse practitioner in Washington, Utah, licensed in Utah (10836585-4405) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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)
David Harless Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show David Harless reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 75 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Idaho, Mississippi and Nevada enrollments
- 71 clinicians in this Medicare group
Bothell, WA 98021
- Reassigned Medicare billing, Washington enrollment
- 207 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 84780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 David Harless's NPI number?
The NPI number for David Harless is 1174262596. It was assigned to this individual provider in the NPPES registry on June 2, 2022.
Where is David Harless located?
David Harless practices at 3961 S Steeplechase Rd, Washington, UT 84780. The listed phone number is (435) 817-3414.
What is David Harless's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is David Harless enrolled in Medicare?
Yes. David Harless is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Harless's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Harless reassigns Medicare benefits to 5 organizations: Molina Healthcare Of Utah Inc (Midvale, UT), Molina Healthcare Of California (Lancaster, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA), Molina Care Connections, LLC. (Long Beach, CA) and Molina Healthcare Of Washington, Inc (Bothell, WA). Each 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 David Harless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Harless accept?
Health plans from Molina Healthcare list David Harless 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 David Harless was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# David Harless, NP-C · NPI 1174262596
Nurse Practitioner physician in Washington, Utah. Individual provider, active in the CMS NPPES registry since June 2, 2022.
## Identity
- **NPI:** 1174262596 (Entity type: Individual)
- **Enumerated:** June 2, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 10836585-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 3961 S STEEPLECHASE RD, Washington, UT 84780-4801
- **Phone:** (435) 817-3414
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of Utah Inc (NPI 1619486396, Midvale, UT); Molina Healthcare Of California (NPI 1508970955, Lancaster, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA); Molina Healthcare Of Washington, Inc (NPI 1659897163, Bothell, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174262596) · Data from the CMS NPPES public registry.