KERISSA TAYLOR HARRIS
NPI 1841068038
Physician Assistant in Columbia, MO

Active since December 18, 2023PECOS EnrolledAccepts Medicare Assignment
1601 E BROADWAY STE 240, COLUMBIA, MO 65201(573) 815-8145 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kerissa Taylor Harris NPPES

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

KERISSA TAYLOR HARRIS (NPI 1841068038) is an individual physician assistant in Columbia, Missouri and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1841068038
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKERISSA TAYLOR HARRIS
Location Address1601 E BROADWAY STE 240Columbia, MO 65201-8022
Mailing Address1601 E Broadway Ste 240Columbia, MO 65201-8022 · (573) 815-8145
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 18, 2023
Last NPPES UpdateDecember 15, 2024
NPPES CertifiedDecember 15, 2024
NPI 1841068038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1601 E BROADWAY STE 240, Columbia, MO 65201

Secondary Practice Location 1

Location 11600 E BroadwayColumbia, MO 65201-5897 · Phone (573) 815-8145

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

Kerissa Taylor Harris 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 ID9739539958
PECOS Enrollment IDI20231229000629
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.

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 8

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

Surgery
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Surgery
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Physician Assistant (Surgical)
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Surgery
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Surgery
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Physician Assistant
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Physician Assistant
1601 E BROADWAY STE 240
COLUMBIA, MO 65201
Nurse Practitioner (Acute Care)
1601 E BROADWAY STE 240
COLUMBIA, MO 65201

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 Kerissa Harris's NPI number?

The NPI number for Kerissa Harris is 1841068038. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Kerissa Harris located?

Kerissa Harris practices at 1601 E Broadway Ste 240, Columbia, MO 65201. The listed phone number is (573) 815-8145.

What is Kerissa Harris's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kerissa Harris enrolled in Medicare?

Yes. Kerissa 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.

Is Kerissa Harris affiliated with any hospitals?

According to CMS data, Kerissa Harris is affiliated with Boone Hospital Center.

When was this NPI record last updated?

The NPPES record for Kerissa Harris was last updated on December 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.