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SCOTT W HARRIS C.R.N.A.
NPI 1215912209
Nurse Anesthetist, Certified Registered in Two Rivers, WI

Active since December 13, 2005PECOS Enrolled
5000 MEMORIAL DR, TWO RIVERS, WI 54241(920) 794-5000 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2023, Dec 8, 2021 (2 updates tracked since 2021).

About Scott W Harris C.r.n.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT W HARRIS C.R.N.A. (NPI 1215912209) is an individual nurse anesthetist, certified registered in Two Rivers, Wisconsin, licensed in Wisconsin (140025-030) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1215912209
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSCOTT W HARRISCredential: C.R.N.A.
Location Address5000 MEMORIAL DRTwo Rivers, WI 54241-3900
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Phone(920) 794-5000
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1215912209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 140025-030
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
5000 MEMORIAL DR, Two Rivers, WI 54241
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Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 445-7226 · Fax (920) 445-7289

Other Identifiers 2

Medicaid44308800WI
Other051052Crna Recertification Card

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott W Harris C.r.n.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Scott Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aspirus Stevens Point Hospital & Clinics, Inc.
98 mi
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1184082745 (715) 342-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW KLEIN
Physical Therapist (Orthopedic)
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5000
MR. JOHN D DUSENBERY CRNA
Nurse Anesthetist, Certified Registered
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5000
ANGELIA VUE
Speech-Language Pathologist
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5376
DR. DAVID DEAN COPP M.D.
Surgery
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5000
EMIL M PAJEK M.D.
Internal Medicine
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5125
NICOLE H SODDY PT
Physical Therapist
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5000
DR. CHARLES D PRATT MD
Surgery
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5125
SUSAN LAURA PRIBYL C.O.T.A.
Occupational Therapy Assistant
5000 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 794-5176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Harris's NPI number?

The NPI number for Scott Harris is 1215912209. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Scott Harris located?

Scott Harris practices at 5000 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 794-5000.

What is Scott Harris's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Scott Harris enrolled in Medicare?

Yes. Scott Harris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Harris reassigns Medicare benefits to Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Harris was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.