CHRISTA J HARRIS RN
NPI 1649030966
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 21, 2024PECOS Enrolled
4858 S CHAMPLAIN AVE APT 1S, CHICAGO, IL 60615(773) 842-2524 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2026, May 6, 2026 (2 updates tracked since 2026).

About Christa J Harris Rn NPPES

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

CHRISTA J HARRIS RN (NPI 1649030966) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209031528) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649030966
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHRISTA J HARRISCredential: RN
Location Address4858 S CHAMPLAIN AVE APT 1SChicago, IL 60615-2031
Mailing Address4858 S Champlain Ave Apt 1sChicago, IL 60615-2031 · (773) 842-2524
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2024
Last NPPES UpdateJuly 18, 20262 updates tracked since enumeration
NPPES CertifiedJuly 18, 2026
✔ NPI 1649030966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209031528
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209031528 (IL)
4858 S CHAMPLAIN AVE APT 1S, Chicago, IL 60615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7618432881
PECOS Enrollment IDI20260717002379
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 Reassignment

Medicare enrollment records show Christa Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family
20280 GOVERNORS HWY STE 102
Olympia Fields, IL 60461
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

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 60615 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Christa Harris's NPI number?

The NPI number for Christa Harris is 1649030966. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Christa Harris located?

Christa Harris practices at 4858 S Champlain Ave Apt 1S, Chicago, IL 60615. The listed phone number is (773) 842-2524.

What is Christa Harris's specialty?

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

Is Christa Harris enrolled in Medicare?

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

Which organization bills Medicare for Christa Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christa Harris reassigns Medicare benefits to Frontier Healthcare Systems Of Illinois LLC (Olympia Fields, IL). The 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 Christa Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christa Harris was last updated on July 18, 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.