Active NPI
James Kenneth Harris, CRNA
- Certified Registered Nurse Anesthetist
- Wausau, WI
National Provider Identifier
1346768009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 118453
- Practice address
- 425 Pine Ridge Blvd
Wausau, WI 54401-4123 - Phone
- (715) 845-5055
- NPI assigned
- Sep 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 118453 | WI | Primary |
Addresses
Primary practice location
425 Pine Ridge Blvd
Wausau, WI 54401-4123
Mailing address
3699 Laurie Ann LN
Wausau, WI 54401-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118453 | Other | WI | NBCRNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Medford Hospital and Clinics Inc
Practice addresses (Care Compare)
135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100
425 Pine Ridge Blvd
Suite 211
Wausau, WI 54401-4123
Phone (715) 845-5505
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.11 of 100
- Quality
- 74.74
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118453 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Wisconsin Anesthesiology | Single Specialty | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Single Specialty | Current | Accepting new patients |
| Aspirus Stanley Hospital & Clinics, Inc. | Single Specialty | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Single Specialty | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Single Specialty | Current | Accepting new patients |
| Aspirus Stanley Hospital & Clinics, Inc | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
425 Pine Ridge Blvd
Ste 211
Wausau, WI 54401
Phone (715) 845-5505
425 Pine Ridge Blvd
Ste 21
Wausau, WI 54401
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Wausau, WI
- NPI 1518999648
Single Specialty
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
Single Specialty
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
Single Specialty
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
Single Specialty
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
-
- Rural Health Clinic/Center
- Prentice, WI
- NPI 1710066584
Single Specialty
-
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1346768009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3699 LAURIE ANN LN",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544018401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014123",
"telephone_number": "715-845-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JAMES",
"middle_name": "KENNETH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-01",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "118453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCRNA",
"identifier": "118453",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.