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

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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

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, is affiliated with Oklahoma State University Medical Center, 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
Fax(918) 858-0290
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
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)
2000 S WHEELING AVE STE 510, Tulsa, OK 74104

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Marie Harris Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688029663
PECOS Enrollment IDI20231011001502
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelley Harris reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
2000 S WHEELING AVE, STE 510
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 27 clinicians in this Medicare group
Internal Medicine
1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 820 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Oklahoma enrollment
  • 238 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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oklahoma State University Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370078
Location744 West 9th StreetTulsa, OK 74127 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Nurse Practitioner (Family)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Internal Medicine (Nephrology)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Nurse Practitioner (Acute Care)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Nurse Practitioner (Adult Health)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Nurse Practitioner (Family)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Nurse Practitioner (Family)
2000 S WHEELING AVE STE 510
TULSA, OK 74104
Internal Medicine (Nephrology)
2000 S WHEELING AVE STE 510
TULSA, OK 74104

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 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.

Where is Kelley Harris located?

Kelley Harris practices at 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104. The listed phone number is (918) 747-5200.

What is Kelley Harris's specialty?

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

Is Kelley Harris enrolled in Medicare?

Yes. Kelley Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelley Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Harris reassigns Medicare benefits to 3 organizations: Nephrology Associates, Inc. (Tulsa, OK), St. John Physicians, Inc. (Tulsa, OK) and Signify Health, LLC (Dallas, TX). 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 Kelley Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Harris accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Kelley Harris 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.

Is Kelley Harris affiliated with any hospitals?

According to CMS data, Kelley Harris is affiliated with Oklahoma State University Medical Center, Saint Francis Hospital, Inc and Ascension St John Medical Center.

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 6 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.