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MICHAEL JEFFREY HARRISON
NPI 1972006914
Oral & Maxillofacial Surgery in Portage, MI

Active since March 15, 2018PECOS Enrolled
3801 GLENKERRY CT STE 2, PORTAGE, MI 49024(269) 323-1527 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2022, Mar 15, 2018 (2 updates tracked since 2018).

About Michael Jeffrey Harrison NPPES

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

MICHAEL JEFFREY HARRISON (NPI 1972006914) is an individual oral & maxillofacial surgery provider in Portage, Michigan, licensed in Michigan (2901601232) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972006914
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameMICHAEL JEFFREY HARRISON
Location Address3801 GLENKERRY CT STE 2Portage, MI 49024-0711
Mailing Address3801 Glenkerry Ct Ste 2Portage, MI 49024-0711
Phone(269) 323-1527
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 15, 2018
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1972006914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MI · 2901601232
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License TEMPORARY (IL)
3801 GLENKERRY CT STE 2, Portage, MI 49024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Jeffrey Harrison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103175807
PECOS Enrollment IDI20221004003027
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 Michael Harrison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kalamazoo Oral & Maxillofacial Surgery, P.C.
Same address
Oral and Maxillofacial Surgery
3801 GLENKERRY CT
Portage, MI 49024
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Kalamazoo Oral & Maxillofacial Surgery PC
  • 6 clinicians in this Medicare group
NPI 1265522262 (269) 323-1527

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

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Other Providers at the Same Location NPPES

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

DAVID M. WILSON DMD, MD
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT STE 2
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527

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 Michael Harrison's NPI number?

The NPI number for Michael Harrison is 1972006914. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Michael Harrison located?

Michael Harrison practices at 3801 Glenkerry Ct Ste 2, Portage, MI 49024. The listed phone number is (269) 323-1527.

What is Michael Harrison's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Harrison enrolled in Medicare?

Yes. Michael Harrison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Harrison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Harrison reassigns Medicare benefits to Kalamazoo Oral & Maxillofacial Surgery, P.C. (Portage, MI). 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 Michael Harrison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Harrison accept?

Health plans from Blue Care Network of Michigan and Priority Health list Michael Harrison 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.

When was this NPI record last updated?

The NPPES record for Michael Harrison was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.