NEELY TAYLOR ROSE HARRIS MD
NPI 1962029579
Pediatrics in Lake St Louis, MO
About Neely Taylor Rose Harris Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEELY TAYLOR ROSE HARRIS MD (NPI 1962029579) is an individual pediatrics provider in Lake St Louis, Missouri, licensed in Illinois (036-166678) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pana.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Neely Taylor Rose Harris Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKE ST LOUIS, MO 63367
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 Neely Harris's NPI number?
The NPI number for Neely Harris is 1962029579. It was assigned to this individual provider in the NPPES registry on June 30, 2020.
Where is Neely Harris located?
Neely Harris practices at 100 Medical Plz, Lake St Louis, MO 63367. The listed phone number is (636) 625-5200.
What is Neely Harris's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Neely Harris enrolled in Medicare?
Yes. Neely Harris is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Neely Harris was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Neely Taylor Rose Harris, MD · NPI 1962029579
Pediatrics physician in Lake St Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 30, 2020.
## Identity
- **NPI:** 1962029579 (Entity type: Individual)
- **Enumerated:** June 30, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036-166678 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MEDICAL PLZ, Lake St Louis, MO 63367-1366
- **Phone:** (636) 625-5200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962029579) · Data from the CMS NPPES public registry.