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

Active since June 24, 2005PECOS Enrolled
1614 WOLF CIR, LAKE CHARLES, LA 70605(337) 478-9653(337) 474-0988 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP15686LA
Medicaid1436461LA
Medicare ID-Type Unspecified4B599LA

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Geriatric Resources, Inc
5.8 mi
Geriatric Medicine
6464 CORBINA RD
Lake Charles, LA 70607
  • Reassigned Medicare billing, Louisiana enrollment
  • 3 clinicians in this Medicare group
NPI 1700052958 (337) 562-6774

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

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)
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Neurological Surgery
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
CENTER FOR NEUROSURGICAL AND SPINE DISORDERS, LLC
Neurological Surgery
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
CHRISTUS HEALTH SWLA
Nurse Practitioner (Family)
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
LINDSAY VIATOR
Nurse Practitioner (Family)
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
BRIAN CHRISTOPHER KELLEY D.O.
Neurological Surgery
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
DR. ERICH W WOLF JR. M.D, PH.D
Neurological Surgery
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653
MRS. KASIE CARIN NIX ANP-C
Nurse Practitioner (Adult Health)
1614 WOLF CIR
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 478-9653

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 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.

Where is Deanna Harless located?

Deanna Harless practices at 1614 Wolf Cir, Lake Charles, LA 70605. The listed phone number is (337) 478-9653.

What is Deanna Harless's specialty?

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

Is Deanna Harless enrolled in Medicare?

Yes. Deanna Harless is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deanna Harless's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Harless reassigns Medicare benefits to Geriatric Resources, Inc (Lake Charles, LA). 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 Deanna Harless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

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