Kelly E Harness, NP - Medicare Nurse Practitioner in Lebanon, VA

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Kelly E Harness, NP is a medicare enrolled "Nurse Practitioner - Family" in Lebanon, Virginia. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Ridge Medical Management Corporation, Blue Ridge Medical Management Corporation and her current practice location is 344 Overlook Dr Ste 200, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 883-5900.

Kelly E Harness is licensed to practice in North Carolina (license number 5010643) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154432003.

Contact Information

Kelly E Harness, NP
344 Overlook Dr Ste 200,
Lebanon, VA 24266-3436
(276) 883-5900
Not Available

Map and Direction




Provider's Profile

Full NameKelly E Harness
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location344 Overlook Dr Ste 200, Lebanon, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly E Harness graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1154432003
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901898063
  • Enrollment ID: I20180810002280

Medical Identifiers

Medical identifiers for Kelly E Harness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154432003NPI-NPPES
425076205MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5010643 (North Carolina)Secondary
363L00000XNurse Practitioner 27841 (Tennessee)Secondary
363L00000XNurse Practitioner 0024180875 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 153499 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 5010643 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Medical Management Corporation9739099441280
Blue Ridge Medical Management Corporation9739099441280

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly E Harness allows following entities to bill medicare on her behalf.
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156
Entity NameOnsite Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912338328
PECOS PAC ID: 7012149222
Enrollment ID: O20140422000656
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720618465
PECOS PAC ID: 9739099441
Enrollment ID: O20200601002332

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly E Harness is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly E Harness, NP
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Kelly E Harness, NP
344 Overlook Dr Ste 200,
Lebanon, VA 24266-3436

Ph: (276) 883-5900

Reviews and Comments


Nurse Practitioner Nurses in Lebanon, VA

Kimberly Michelle Miller, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 481 Majestic Valley Rd, Lebanon, VA 24266
Phone: 276-596-0608    
Mrs. Amanda Michele Mullins, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 142 Highland Dr, Lebanon, VA 24266
Phone: 276-889-0433    Fax: 276-889-5537
Mrs. Kathy Jo Justus, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 495 East Main Street, Lebanon, VA 24266
Phone: 276-889-3700    Fax: 276-889-5505
Amanda Elizabeth Horner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 58 Carroll Street, Lebanon, VA 24266
Phone: 276-883-8000    
Mrs. Jacquelin London Greene, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 58 Carroll St, Lebanon, VA 24266
Phone: 276-883-8086    Fax: 276-883-8090
Nancy Sue Blevins, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 75 Rogers Street, Lebanon, VA 24266
Phone: 276-889-7621    Fax: 276-889-7621

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.