COURTNEY J HARRIS CRNA
NPI 1235764218
Nurse Anesthetist, Certified Registered in O Fallon, IL

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120(618) 641-5810 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2020, Mar 10, 2020 (2 updates tracked since 2020).

About Courtney J Harris Crna NPPES

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

COURTNEY J HARRIS CRNA (NPI 1235764218) is an individual nurse anesthetist, certified registered in O Fallon, Illinois, licensed in Illinois (209.020870) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235764218
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCOURTNEY J HARRISCredential: CRNA
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address319 N Oakcrest AveDecatur, IL 62522-1812 · (314) 616-5191
Fax(618) 641-5810
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 10, 2020
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1235764218 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 IL · 209.020870
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.
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney J Harris Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375974652
PECOS Enrollment IDI20220318001363
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 Reassignments

7

Medicare enrollment records show Courtney Harris reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 230 clinicians in this Medicare group
Rural Health
515 MAPLE VALLEY DR
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
  • 595 clinicians in this Medicare group
Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
Anesthesiology
1316 OLD 63 S, SUITE 102
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 63 clinicians in this Medicare group
Anesthesiology
6742 N FROSTWOOD PKWY
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associated Anesthesiologists Sc
  • 337 clinicians in this Medicare group
Gastroenterology
3800 S WHITNEY AVE, SUITE 200
Independence, MO 64055
  • Reassigned Medicare billing, Missouri enrollment
  • 146 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
15 services15 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
14 services14 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
13 services13 patients
Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.
12 services12 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services11 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Physician Assistant
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269

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 Courtney Harris's NPI number?

The NPI number for Courtney Harris is 1235764218. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Courtney Harris located?

Courtney Harris practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Courtney Harris's specialty?

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

Is Courtney Harris enrolled in Medicare?

Yes. Courtney Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Courtney Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Harris reassigns Medicare benefits to 7 organizations: Midwest Anesthesia Providers S.C (Saint Louis, MO), Saint Francis Medical Center (Farmington, MO), Mercy Clinic Springfield Communities (Cuba, MO), Mid-America Anesthesia Consultants, PC (Columbia, MO), Associated Anesthesiologists, S.C. (Peoria, IL) and 2 more organizations, listed in the Medicare section above. Each 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 Courtney Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Harris accept?

Health plans from Anthem Blue Cross and Blue Shield list Courtney Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Courtney Harris affiliated with any hospitals?

According to CMS data, Courtney Harris is affiliated with Mercy Hospital Springfield and Boone Hospital Center.

When was this NPI record last updated?

The NPPES record for Courtney Harris was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.