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TYSON A HARRIS NP
NPI 1588905699
Nurse Practitioner - Adult Health in Blackfoot, ID

Active since March 14, 2013PECOS EnrolledAccepts Medicare Assignment
98 POPLAR ST, BLACKFOOT, ID 83221(208) 239-8033(208) 785-9450 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Jun 9, 2021 (2 updates tracked since 2021).

About Tyson A Harris Np NPPES

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

TYSON A HARRIS NP (NPI 1588905699) is an individual adult health provider in Blackfoot, Idaho, licensed in Idaho (NP-1272A) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588905699
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTYSON A HARRISCredential: NP
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 239-8033 · Fax (208) 785-9450
Phone(208) 239-8033
Fax(208) 785-9450
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 14, 2013
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1588905699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in ID · NP-1272A✔ Licensed in WA · AP60641080
98 POPLAR ST, Blackfoot, ID 83221
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyson A Harris Np 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 ID7517106172
PECOS Enrollment IDI20160503000781
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.

Areas of Expertise CMS Part B claims 5

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.

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.
112 services72 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
27 services24 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.
18 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$103.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BEVERLY HANSON PA
Physician Assistant (Surgical)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 782-3993
DAN EARL ROBINSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 690-0394
AMANDA WRAY RPH
Pharmacist
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 782-2990
SAMANTHA HRABIK FNP-C
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 251-2408
DR. JASON CHRISTOPHER BELL D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-5801
ABBY JAN WILSON FNP-BC, RD, CDCES
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100
MS. SUZANNE GODFREY LCPC, NCC
Counselor
98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221
Bingham County (208) 785-3800
SCOTT RYAN MANGUM PA-C
Physician Assistant (Medical)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100

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 Tyson Harris's NPI number?

The NPI number for Tyson Harris is 1588905699. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Where is Tyson Harris located?

Tyson Harris practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 239-8033.

What is Tyson Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tyson Harris enrolled in Medicare?

Yes. Tyson 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.

What insurance does Tyson Harris accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Tyson 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.

Is Tyson Harris affiliated with any hospitals?

According to CMS data, Tyson Harris is affiliated with Portneuf Medical Center and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tyson Harris was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.