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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KALLIE HARRIS FNP-C
NPI 1316792203
Nurse Practitioner - Family in Goshen, IN

Active since April 23, 2024PECOS Enrolled
330 LAKEVIEW DR, GOSHEN, IN 46528(574) 333-1234 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, May 14, 2025, Sep 9, 2024 and 2 more (5 updates tracked since 2024).

About Kallie Harris Fnp-c NPPES

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

KALLIE HARRIS FNP-C (NPI 1316792203) is an individual family provider in Goshen, Indiana, licensed in Indiana (71015714A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2024).

NPPES Registry Identity

NPI1316792203
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALLIE HARRISCredential: FNP-C
Location Address330 LAKEVIEW DRGoshen, IN 46528-9365
Mailing Address621 Liberty StElkhart, IN 46514-2642
Phone(574) 333-1234
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2024
Enumeration DateApril 23, 2024
Last NPPES UpdateOctober 19, 20265 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1316792203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71015714A
330 LAKEVIEW DR, Goshen, IN 46528
Open in Google Maps ↗

Other Names 1

Former Name (1)Kallie Wilson Fnp-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kallie Harris Fnp-c 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 ID1658802509
PECOS Enrollment IDI20241002001534
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 Reassignment

Medicare enrollment records show Kallie Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Indiana, LLC
7.0 mi
Multi-Specialty
25651 COUNTY ROAD 20
Elkhart, IN 46517
  • Reassigned Medicare billing, Indiana enrollment
  • 47 clinicians in this Medicare group
NPI 1730638990 (574) 522-1201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
83 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services36 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46528 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

LAVERN D RABER
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
OAKLAWN PSYCHIATRIC CENTER, INC.
Pharmacy
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
MANDY MORETTI MSW
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
BARBARA D SPRINGER N.P.
Nurse Practitioner (Family)
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
LINDA CHRISTOPHEL
Social Worker (Clinical)
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 537-2680
CHARLENE KOENIG MA
Counselor (Mental Health)
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
KIMBERLY J MARTIN MSW
Social Worker
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
TRAVIS SILVEUS MA
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234

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 Kallie Harris's NPI number?

The NPI number for Kallie Harris is 1316792203. It was assigned to this individual provider in the NPPES registry on April 23, 2024. The provider is also known as Kallie Wilson Fnp-C.

Where is Kallie Harris located?

Kallie Harris practices at 330 Lakeview Dr, Goshen, IN 46528. The listed phone number is (574) 333-1234.

What is Kallie Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kallie Harris enrolled in Medicare?

Yes. Kallie 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 organization bills Medicare for Kallie Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kallie Harris reassigns Medicare benefits to Privia Medical Group Indiana, LLC (Elkhart, IN). The 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 Kallie Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kallie Harris accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kallie 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.

When was this NPI record last updated?

The NPPES record for Kallie Harris was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.