Individual provider Active NPI

Luke Harbers, PA-C

  • Surgical Physician Assistant
  • Mount Pleasant, WI
National Provider Identifier
1982056768
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3779-23 Issued in WI
Practice address
7200 Washington Ave Ste 101
Mount Pleasant, WI 53406-6516
Phone
(414) 939-5447
Fax
(262) 583-1769
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3779-23 WI Primary

Addresses

Primary practice location

7200 Washington Ave Ste 101
Mount Pleasant, WI 53406-6516

Mailing address

7200 Washington Ave Ste 101
Mount Pleasant, WI 53406-6516
Phone (414) 939-5447

Other identifiers 1

IdentifierTypeStateIssuer
1982056768MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719001224 WI Order and Referring Only - Physician Assistant 1355634015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3779-23WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Spine Surgery Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: luke.harbers@1509.chartlogic.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1982056768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WASHINGTON AVE STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066516",
            "telephone_number": "414-939-5447",
            "fax_number": "262-583-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WASHINGTON AVE STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066516",
            "telephone_number": "414-939-5447",
            "fax_number": "262-583-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBERS",
        "first_name": "LUKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "3779-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982056768",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.