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

Mr. Deshawn Antonio Harris Sr., APRN

Individual provider Family Nurse Practitioner · NPI 1558503615

Mr. Deshawn Antonio Harris Sr., APRN is a Nurse Practitioner in New Carlisle, Ohio. Qualified in 2019, 7 years ago. Practices with Integrated Pain Solutions Incorporated, a 20-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
7
Licensed in
KY, OH
In the registry since
2009
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

106 N Main St
New Carlisle, OH 45344-1835
Phone: (937) 667-1122
Fax: (419) 225-8878
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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 APRN.CNP.026018 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3017379 (KY)

Record details

NPI number1558503615
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 3, 2009
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Integrated Pain Solutions Incorporated — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in New Carlisle