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JACQUELINE HARRIS P.A.-C.
NPI 1821016403
Physician Assistant - Surgical in Fort Worth, TX

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
800 5TH AVE STE 300, FORT WORTH, TX 76104(817) 878-5300(817) 878-5321 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2019, Apr 18, 2017, Feb 6, 2017 (3 updates tracked since 2017).

About Jacqueline Harris P.a.-c. NPPES

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

JACQUELINE HARRIS P.A.-C. (NPI 1821016403) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA03245) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1821016403
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACQUELINE HARRISCredential: P.A.-C.
Location Address800 5TH AVE STE 300Fort Worth, TX 76104-7303
Mailing Address800 5th Ave Ste 300Fort Worth, TX 76104-7303 · (817) 878-5300 · Fax (817) 878-5321
Phone(817) 878-5300
Fax(817) 878-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 9, 20193 updates tracked since enumeration
✔ NPI 1821016403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA03245
800 5TH AVE STE 300, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 1

Other1821016403TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Jacqueline Harris P.a.-c. 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 ID2264418532
PECOS Enrollment IDI20040628000252
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.

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 10

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

JENNA BROOKLYN MOORE
Physician Assistant (Surgical)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 250-5690
JOHN LEWIS LEAKE
Physician Assistant
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 250-6575
GUADALUPE DE LA FUENTE JR. M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 878-5300
HUGO B SANCHEZ MD
Orthopaedic Surgery
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 250-6575
RAAFAY SYED
Physical Medicine & Rehabilitation (Pain Medicine)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 442-9300
ELLIOT RUTLEDGE ROW M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 250-5690
MELANIE KAKAS PA-C
Physician Assistant (Surgical)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 250-5690
CORY A. COLLINGE M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Tarrant County (817) 878-5300

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 Jacqueline Harris's NPI number?

The NPI number for Jacqueline Harris is 1821016403. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jacqueline Harris located?

Jacqueline Harris practices at 800 5th Ave Ste 300, Fort Worth, TX 76104. The listed phone number is (817) 878-5300.

What is Jacqueline Harris's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacqueline Harris enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Harris accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jacqueline 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 Jacqueline Harris affiliated with any hospitals?

According to CMS data, Jacqueline Harris is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Jacqueline Harris was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.