1. Home
  2. Directory
  3. Oklahoma
  4. Coweta
  5. Pediatrics
  6. NPI Profile

KIMBERLY DAWN HARRISON DO
NPI 1447887997
Pediatrics in Coweta, OK

Active since March 25, 2020PECOS Enrolled
30011 E STATE HIGHWAY 51, COWETA, OK 74429(918) 486-2161(918) 486-3135 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Kimberly Dawn Harrison Do NPPES

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

KIMBERLY DAWN HARRISON DO (NPI 1447887997) is an individual pediatrics provider in Coweta, Oklahoma, licensed in Oklahoma (7354) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447887997
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY DAWN HARRISONCredential: DO
Location Address30011 E STATE HIGHWAY 51Coweta, OK 74429-7681
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331 · (888) 247-0125 · Fax (918) 502-8210
Phone(918) 486-2161
Fax(918) 486-3135
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1447887997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 7354
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
30011 E STATE HIGHWAY 51, Coweta, OK 74429
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Dawn Harrison Do 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 Reassignments

3

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

Warren Clinic Inc
18 mi
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group
NPI 1174582282 (918) 488-6001
Oklahoma State University
24 mi
Medical Specialty
2345 SOUTHWEST BLVD
Tulsa, OK 74107
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1306882261 (918) 561-5701
Durant Hma Physician Management, LLC
141 mi
Internal Medicine
1400 BRYAN DR, SUITE 301
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 35 clinicians in this Medicare group
NPI 1043361116 (580) 920-0105

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 74429 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
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 8

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

ASHLEY ANNE PETERSEN M.D.
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 561-8306
DR. JACK STEPHEN ALDRIDGE D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
MRS. KATHLEEN MARY MCGOVERN DO
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
RONNIE L CARR D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
DR. KELLIE DAWN VANTUYL D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
BOERJE A. AXELSSON M.D.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
EMILY ANN BOLENDER MD
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161

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 Kimberly Harrison's NPI number?

The NPI number for Kimberly Harrison is 1447887997. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Kimberly Harrison located?

Kimberly Harrison practices at 30011 E State Highway 51, Coweta, OK 74429. The listed phone number is (918) 486-2161.

What is Kimberly Harrison's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Harrison enrolled in Medicare?

Yes. Kimberly Harrison is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Harrison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Harrison reassigns Medicare benefits to 3 organizations: Warren Clinic Inc (Tulsa, OK), Oklahoma State University (Tulsa, OK) and Durant Hma Physician Management, LLC (Durant, OK). 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 Kimberly Harrison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Harrison accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Kimberly Harrison 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 Kimberly Harrison was last updated on July 3, 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.