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KYRA LOREEN HARRISON PA
NPI 1316653702
Physician Assistant in North Hollywood, CA

Active since January 27, 2023Opted out of Medicare · through Apr 29, 2028
11650 RIVERSIDE DR STE 11, NORTH HOLLYWOOD, CA 91602(310) 954-1450 Get Directions Write a Review

NPPES record last updated: February 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2023, Jan 27, 2023 (2 updates tracked since 2023).

About Kyra Loreen Harrison Pa NPPES

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

KYRA LOREEN HARRISON PA (NPI 1316653702) is an individual physician assistant in North Hollywood, California and active in the NPI registry since January 2023. She has opted out of Medicare through April 29, 2028.

NPPES Registry Identity

NPI1316653702
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYRA LOREEN HARRISONCredential: PA
Location Address11650 RIVERSIDE DR STE 11North Hollywood, CA 91602-1095
Mailing Address1718 N Las Palmas Ave Apt 234Los Angeles, CA 90028-3815
Phone(310) 954-1450
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
Last NPPES UpdateFebruary 11, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2023
✔ NPI 1316653702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11650 RIVERSIDE DR STE 11, North Hollywood, CA 91602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kyra Loreen Harrison Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2026 through April 29, 2028.

Opt-Out Effective DateApril 29, 2026
Opt-Out In Effect ThroughApril 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91602 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

EVE M KATZEN PA-C
Physician Assistant
11650 RIVERSIDE DR STE 11
STUDIO CITY, CA 91602
Los Angeles County (310) 954-1450

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 Kyra Harrison's NPI number?

The NPI number for Kyra Harrison is 1316653702. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Kyra Harrison located?

Kyra Harrison practices at 11650 Riverside Dr Ste 11, North Hollywood, CA 91602. The listed phone number is (310) 954-1450.

What is Kyra Harrison's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyra Harrison enrolled in Medicare?

No. Kyra Harrison has opted out of Medicare through April 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyra Harrison was last updated on February 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.