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LETICIA HARRIS
NPI 1992491807
Nurse Practitioner - Family in Ripley, TN

Active since April 13, 2023PECOS EnrolledAccepts Medicare Assignment
104 STONE BROOK CV, RIPLEY, TN 38063(731) 612-8129(731) 260-2693 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 13, 2026, Apr 13, 2023 (2 updates tracked since 2023).

About Leticia Harris NPPES

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

LETICIA HARRIS (NPI 1992491807) is an individual family provider in Ripley, Tennessee, licensed in Tennessee (40003) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992491807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLETICIA HARRIS
Location Address104 STONE BROOK CVRipley, TN 38063-8071
Mailing Address423 N Fowlkes AveDyersburg, TN 38024-3817
Phone(731) 612-8129
Fax(731) 260-2693
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 13, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1992491807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 40003
Also ListedRegistered Nurse · College HealthTaxonomy 163WC1400X · License 1791408 (TN)
104 STONE BROOK CV, Ripley, TN 38063
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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

Leticia 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 ID9638663057
PECOS Enrollment IDI20251212002988
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 38063 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

CROSSRIVER TELEHEALTH PLLC
Clinic/Center (Primary Care)
104 STONE BROOK CV
RIPLEY, TN 38063
Lauderdale County (731) 612-8129

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 Leticia Harris's NPI number?

The NPI number for Leticia Harris is 1992491807. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Leticia Harris located?

Leticia Harris practices at 104 Stone Brook Cv, Ripley, TN 38063. The listed phone number is (731) 612-8129.

What is Leticia Harris's specialty?

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

Is Leticia Harris enrolled in Medicare?

Yes. Leticia 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.

When was this NPI record last updated?

The NPPES record for Leticia Harris was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.