MARY KATHARINE HARRIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1558894097

MARY KATHARINE HARRIS (CRNA) is a healthcare provider. based in Fort myers, Florida. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 9384579 (FL). The NPI Number for MARY KATHARINE HARRIS (CRNA) is 1558894097

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MARY KATHARINE HARRIS (CRNA)
NPI
1558894097
Phone
(239) 939-2622
Address
12511 WORLD PLAZA LN
Enumeration Date
11 April 2017
Last Update Date
20 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122444272
Graduation Year
2017 (9 years ago)
PAC ID
2062789159
Group Practice PAC ID
2567369424
Professional Enrollment ID
I20180803001416
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for MARY KATHARINE HARRIS (CRNA)

  • 12511 WORLD PLAZA LN

    BLDG #50

    FORT MYERS, FL 339073991

    Phone: (239) 939-2622

    Type: Location

  • 12511 World Plaza Ln

    Bldg #50

    Fort Myers, FL 339073991

    Phone: (239) 939-2622

    Type: Location

  • 3402, Southwest 7th Lane, Cape Coral, Lee County, Florida, 33991, United States

    CAPE CORAL, FL 339911697

    Phone: (801) 657-6354

    Type: Mailing

  • 2000 S MAYS ST STE 201

    ROUND ROCK, TX 786647580

    Phone: (512) 244-4272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Abbott Laboratories ($260).

Total Amount

$273

General + Research + Ownership

Payments

17

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170519001886ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20180803001416ICertified Registered Nurse Anesthetist (Crna)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01992Anesthesia for nerve block and injection procedure, prone position1514$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back1111$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567369424View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
-TX
Interventional Pain Management, AnesthesiologyTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What identifier follows MARY KATHARINE HARRIS (CRNA) across health systems?
The NPI 1558894097 uniquely identifies MARY KATHARINE HARRIS (CRNA) in U.S. healthcare data.
Quick check: is MARY KATHARINE HARRIS (CRNA) active?
Public NPPES data shows MARY KATHARINE HARRIS (CRNA) with an active NPI status right now.
How should patients interpret MARY KATHARINE HARRIS (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MARY KATHARINE HARRIS (CRNA). Clinical services aligned with this taxonomy classification.
Which community is linked to MARY KATHARINE HARRIS (CRNA)?
MARY KATHARINE HARRIS (CRNA) shows a connection to Fort Myers, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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