Individual provider Active NPI

Jeffrey Nathan Harris, M.D.

  • Occupational Medicine Physician
  • Hill AFB, UT
National Provider Identifier
1225188709
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
15346 Issued in NV
Practice address
7321 Balmer St BLDG 570
Hill AFB, UT 84056-5012
Phone
(801) 777-1163
NPI assigned
Jan 10, 2007
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101244995 VA
Emergency Medicine Physician 207P00000X 15346 NV
Aerospace Medicine Physician 2083A0100X 15346 NV
Occupational Medicine Physician 2083X0100X 15346 NV Primary

Addresses

Primary practice location

7321 Balmer St BLDG 570
Hill AFB, UT 84056-5012

Mailing address

7321 Balmer St BLDG 570
Hill AFB, UT 84056-5012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216001820 NV Practitioner - Emergency Medicine 3971631813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crum,Stefanko and Jones LTDGroup PAC ID 6901883438, 16 clinicians

Practice addresses (Care Compare)

2001 Errecart Blvd
Ruby Crest Emergency Medicine
Elko, NV 89801-8333
Phone (775) 738-5151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101244995VAMDEmergency Medicine Physician
15346NVMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1225188709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 BALMER ST BLDG 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 BALMER ST BLDG 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-777-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFREY",
        "middle_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101244995",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "15346",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NV",
            "license": "15346",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NV",
            "license": "15346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill AFB, UT

Sources for this page

Verify at the official NPI Registry.