Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kallie Harris, FNP-C

Individual provider Family Nurse Practitioner · NPI 1316792203

Kallie Harris, FNP-C is a Nurse Practitioner in Goshen, Indiana. Graduated from Ohio State University College of Medicine in 2024, 2 years ago. Practices with Privia Medical Group Indiana LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Trained at
Ohio State University College of Medicine
Licensed in
IN
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

330 Lakeview Dr
Goshen, IN 46528-9365
Phone: (574) 333-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015714A (IN)

Record details

NPI number1316792203
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 23, 2024
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Privia Medical Group Indiana Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goshen