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DEREK R. HARRIS MSN, APRN, CPNP-PC
NPI 1821360728
Nurse Practitioner - Pediatrics in Shreveport, LA

Active since February 08, 2012PECOS EnrolledAccepts Medicare Assignment
1919 FAIRFIELD AVE, SHREVEPORT, LA 71101(318) 828-2210(318) 828-2215 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek R. Harris Msn, Aprn, Cpnp-pc NPPES

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

DEREK R. HARRIS MSN, APRN, CPNP-PC (NPI 1821360728) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (AP07181) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821360728
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameDEREK R. HARRISCredential: MSN, APRN, CPNP-PC
Location Address1919 FAIRFIELD AVEShreveport, LA 71101-4436
Mailing Address1919 Fairfield AveShreveport, LA 71101-4436 · (318) 828-2210 · Fax (318) 828-2215
Phone(318) 828-2210
Fax(318) 828-2215
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJune 17, 2019
✔ NPI 1821360728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in LA · AP07181
1919 FAIRFIELD AVE, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 1

Medicaid2330578LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Derek R. Harris Msn, Aprn, Cpnp-pc 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 ID8022508886
PECOS Enrollment IDI20251110000964
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 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

DR. MARIA DELOSANGELES ARROYO M.D.
Specialist
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 222-6123
HEART CENTER CARDIOVASCULAR SPECIALISTS
Specialist
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 222-6123
MRS. ASHLEY C VIVIANO MSN, APRN, PNP-PC
Nurse Practitioner (Pediatrics)
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 828-2210
DR. AMANDA LYNN KAMPERT MD
Pediatrics
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 828-2210
PROGRESSIVE CHILDRENS CLINIC LLC
Pediatrics
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 828-2210

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 Derek Harris's NPI number?

The NPI number for Derek Harris is 1821360728. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Derek Harris located?

Derek Harris practices at 1919 Fairfield Ave, Shreveport, LA 71101. The listed phone number is (318) 828-2210.

What is Derek Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Derek Harris enrolled in Medicare?

Yes. Derek 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 Derek Harris accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Harris was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.