JENNIFER HARRIS, APRN, LLC
NPI 1669315651
Nurse Practitioner - Family in Russellville, AR

Active since April 13, 2026
169 GREYSTONE LN, RUSSELLVILLE, AR 72802(479) 336-6642(479) 227-5562 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 11, 2026, Apr 21, 2026, Apr 13, 2026 (3 updates tracked since 2026).

About Jennifer Harris, Aprn, Llc NPPES

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

JENNIFER HARRIS, APRN, LLC (NPI 1669315651) is a healthcare organization registered as a family in Russellville, Arkansas and active in the NPI registry since April 2026. The organization lists Jennifer Harris, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1669315651
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJENNIFER HARRIS, APRN, LLC
Location Address169 GREYSTONE LNRussellville, AR 72802-2385
Mailing AddressPo Box 10054Russellville, AR 72812-0054 · (479) 336-6642 · Fax (479) 227-5562
Fax(479) 227-5562
Organization SubpartNo
Authorized OfficialJennifer HarrisAuthorized Official · (479) 857-2442
Enumeration DateApril 13, 2026
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1669315651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
169 GREYSTONE LN, Russellville, AR 72802

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Harris, Aprn, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Harris, Aprn, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588053789
PO BOX 10054
Russellville, AR 72812
(479) 336-6642
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Harris, Aprn, LLC's NPI number?

The NPI number for Jennifer Harris, Aprn, LLC is 1669315651. It was assigned to this organization in the NPPES registry on April 13, 2026.

Where is Jennifer Harris, Aprn, LLC located?

Jennifer Harris, Aprn, LLC is located at 169 Greystone Ln, Russellville, AR 72802. The listed phone number is (479) 336-6642.

What is Jennifer Harris, Aprn, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Harris, Aprn, LLC enrolled in Medicare?

Yes. Jennifer Harris, Aprn, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Harris, Aprn, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jennifer Harris, Aprn, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Harris, Aprn, LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.