DEANNA FREDERICKS HARLESS ACNP - NPI 1407852288 - Nurse Practitioner in Lake Charles, LA

Q: What is Deanna Harless's NPI number?

The NPI number for Deanna Harless is 1407852288. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Q: What is Deanna Harless's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Harless was last updated on December 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Deanna Fredericks Harless Acnp NPPES

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

DEANNA FREDERICKS HARLESS ACNP (NPI 1407852288) is an individual acute care provider in Lake Charles, Louisiana, licensed in Louisiana (RN054166 AP03616) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407852288

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDEANNA FREDERICKS HARLESSCredential: ACNP

Location Address1614 WOLF CIRLake Charles, LA 70605-2348

Mailing AddressPo Box 1786Lake Charles, LA 70602-1786 · (337) 478-9653 · Fax (337) 474-0988

Phone(337) 478-9653

Fax(337) 474-0988

Sole ProprietorYes

Enumeration DateJune 24, 2005

Last NPPES UpdateDecember 16, 2009

✔ NPI 1407852288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in LA · RN054166 AP03616

1614 WOLF CIR, Lake Charles, LA 70605

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Other Identifiers 3

Medicare UPINP15686LA

Medicaid1436461LA

Medicare ID-Type Unspecified4B599LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deanna Fredericks Harless Acnp 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 70605 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 8

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

TARA C BARNES APRN

Nurse Practitioner (Adult Health)