KELLEY MARIE HARRIS DO
NPI 1265019863
Internal Medicine - Nephrology in Tulsa, OK

Q: What is Kelley Harris's NPI number?

The NPI number for Kelley Harris is 1265019863. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Kelley Harris's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Harris was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2021PECOS Enrolled

2000 S WHEELING AVE STE 510, TULSA, OK 74104(918) 747-5200(918) 858-0290 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Apr 14, 2023, Mar 28, 2021 (3 updates tracked since 2021).

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About Kelley Marie Harris Do NPPES

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

KELLEY MARIE HARRIS DO (NPI 1265019863) is an individual nephrology provider in Tulsa, Oklahoma, licensed in Oklahoma (7770) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265019863

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameKELLEY MARIE HARRISCredential: DO

Location Address2000 S WHEELING AVE STE 510Tulsa, OK 74104-5642

Mailing Address2000 S Wheeling Ave Ste 510Tulsa, OK 74104-5642 · (918) 747-5200 · Fax (918) 858-0290

Phone(918) 747-5200

Fax(918) 858-0290

Sole ProprietorNo

Enumeration DateMarch 28, 2021

Last NPPES UpdateMay 1, 20263 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1265019863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OK · 7770

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 7770 (OK)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2000 S WHEELING AVE STE 510, Tulsa, OK 74104

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Secondary Practice Locations 2

Location 13500 State StBartlesville, OK 74006-2932 · Phone (918) 331-1130 · Fax (918) 331-1238

Location 23369 W Broadway StMuskogee, OK 74401-2134 · Phone (918) 747-5200 · Fax (918) 858-0290

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Marie Harris Do 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 74104 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 13

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

RICHARD DAVID BARNES ARNP

Nurse Practitioner (Family)