JOHN HARRISON
NPI 1205418340
Nurse Practitioner - Psychiatric/Mental Health in Oakdale, MN

Q: What is John Harrison's NPI number?

The NPI number for John Harrison is 1205418340. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Q: What is John Harrison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for John Harrison was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since April 27, 2021PECOS Enrolled

625 HAYWARD AVE N, OAKDALE, MN 55128(651) 410-7955 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, May 29, 2021, May 16, 2021 and 1 more (4 updates tracked since 2021).

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About John Harrison NPPES

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

JOHN HARRISON (NPI 1205418340) is an individual psychiatric/mental health provider in Oakdale, Minnesota, licensed in Minnesota (8119) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205418340

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOHN HARRISON

Location Address625 HAYWARD AVE NOakdale, MN 55128-7127

Mailing Address625 Hayward Ave NOakdale, MN 55128-7127 · (651) 410-7955

Phone(651) 410-7955

Sole ProprietorNo

Enumeration DateApril 27, 2021

Last NPPES UpdateJuly 22, 20214 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1205418340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MN · 8119✔ Licensed in MN · 2310895

625 HAYWARD AVE N, Oakdale, MN 55128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

John Harrison 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 55128 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 6

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

MR. TOU PHENG YANG MA

Counselor (Mental Health)