SAMUEL ISAAC HARRIS PMHNP-BC
NPI 1457695173
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Q: What is Samuel Harris's NPI number?

The NPI number for Samuel Harris is 1457695173. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Q: What is Samuel Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Samuel Harris enrolled in Medicare?

No. Samuel Harris has opted out of Medicare through August 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samuel Harris was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 19, 2012Opted out of Medicare · through Aug 15, 2026

1944 LASKIN RD STE 402, VIRGINIA BEACH, VA 23454(757) 524-2356(855) 266-7454 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Aug 16, 2018 (2 updates tracked since 2018).

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About Samuel Isaac Harris Pmhnp-bc NPPES

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

SAMUEL ISAAC HARRIS PMHNP-BC (NPI 1457695173) is an individual psychiatric/mental health provider in Virginia Beach, Virginia, licensed in Virginia (0024174324) and active in the NPI registry since November 2012. He has opted out of Medicare through August 15, 2026.

NPPES Registry Identity

NPI1457695173

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSAMUEL ISAAC HARRISCredential: PMHNP-BC

Location Address1944 LASKIN RD STE 402Virginia Beach, VA 23454-4280

Mailing Address2252 Hatton StVirginia Beach, VA 23451-1704 · (423) 943-7983 · Fax (855) 266-7454

Phone(757) 524-2356

Fax(855) 266-7454

Sole ProprietorNo

Enumeration DateNovember 19, 2012

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1457695173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024174324

1944 LASKIN RD STE 402, Virginia Beach, VA 23454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel Isaac Harris Pmhnp-bc 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 August 15, 2022 through August 15, 2026.

Opt-Out Effective DateAugust 15, 2022

Opt-Out In Effect ThroughAugust 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Samuel Harris's NPI number?

The NPI number for Samuel Harris is 1457695173. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Samuel Harris located?

Samuel Harris practices at 1944 Laskin Rd Ste 402, Virginia Beach, VA 23454. The listed phone number is (757) 524-2356.

What is Samuel Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Harris enrolled in Medicare?

No. Samuel Harris has opted out of Medicare through August 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samuel Harris accept?

Health plans from Providence Health Plan list Samuel 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 Samuel Harris was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.