LYDIA J HARRIS NNP
NPI 1609830884
Nurse Practitioner - Neonatal, Critical Care in Portland, ME

Q: What is Lydia Harris's NPI number?

The NPI number for Lydia Harris is 1609830884. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Lydia Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Harris was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 14, 2006PECOS Enrolled

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2273(207) 662-6324 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Jan 14, 2020, Dec 12, 2019 and 1 more (4 updates tracked since 2016).

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About Lydia J Harris Nnp NPPES

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

LYDIA J HARRIS NNP (NPI 1609830884) is an individual neonatal, critical care provider in Portland, Maine, licensed in Maine (CNP241194) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609830884

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameLYDIA J HARRISCredential: NNP

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address6451 N Federal Hwy Ste 700Fort Lauderdale, FL 33308-1420 · (855) 808-2723

Phone(207) 662-2273

Fax(207) 662-6324

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 14, 2006

Last NPPES UpdateApril 14, 20264 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1609830884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

Licenses✔ Licensed in ME · CNP241194✔ Licensed in GA · RN081306✔ Licensed in WI · 2451

22 BRAMHALL ST, Portland, ME 04102

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Other Identifiers 1

Medicaid32869766AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia J Harris Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537442991

PECOS Enrollment IDI20251016000772

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 04102 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)