COLLETTE ROCHELLE HARRIS MD
NPI 1639564164
Family Medicine in Phoenix, AZ

Active since April 01, 2015PECOS Enrolled
2025 W NORTHERN AVE, PHOENIX, AZ 85021(602) 655-6300 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 22, 2021, Mar 10, 2020 and 4 more (7 updates tracked since 2016).

About Collette Rochelle Harris Md NPPES

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

COLLETTE ROCHELLE HARRIS MD (NPI 1639564164) is an individual family medicine provider in Phoenix, Arizona, licensed in District Of Columbia (MD047731) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639564164
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOLLETTE ROCHELLE HARRISCredential: MD
Location Address2025 W NORTHERN AVEPhoenix, AZ 85021-5157
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000 · Fax (602) 470-5064
Sole ProprietorNo
Enumeration DateApril 1, 2015
Last NPPES UpdateMarch 7, 20237 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
NPI 1639564164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in DC · MD047731 Licensed in AZ · 65025 Licensed in WA · MD60748512
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2025 W NORTHERN AVE, Phoenix, AZ 85021

Other Identifiers 1

OtherMD047731DC · Dc Doh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Collette Rochelle Harris Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85021 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2025 W NORTHERN AVE
PHOENIX, AZ 85021
Internal Medicine
2025 W NORTHERN AVE
PHOENIX, AZ 85021
Nurse Practitioner
2025 W NORTHERN AVE
PHOENIX, AZ 85021
Pharmacy (Community/Retail Pharmacy)
2025 W NORTHERN AVE
PHOENIX, AZ 85021
Counselor (Mental Health)
2025 W NORTHERN AVE
PHOENIX, AZ 85021

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 Collette Harris's NPI number?

The NPI number for Collette Harris is 1639564164. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Collette Harris located?

Collette Harris practices at 2025 W Northern Ave, Phoenix, AZ 85021. The listed phone number is (602) 655-6300.

What is Collette Harris's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Collette Harris enrolled in Medicare?

Yes. Collette Harris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Collette Harris was last updated on March 7, 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.