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

Kerissa Taylor Harris

Individual provider Physician Assistant · NPI 1841068038

Kerissa Taylor Harris is a Physician Assistant in Columbia, Missouri. Qualified in 2023, 3 years ago. Practices with Boone Physician Services LLC, a 240-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

1601 E Broadway Ste 240
Columbia, MO 65201-8022
Phone: (573) 815-8145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 E Broadway, Columbia, MO 65201-5897 — (573) 815-8145

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1841068038
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 15, 2024
Certification dateDecember 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Columbia