MARTHA HARRIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1841241676

MARTHA HARRIS (CRNA) is a healthcare provider. based in Belleville, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 94978 (MO). The NPI Number for MARTHA HARRIS (CRNA) is 1841241676

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA HARRIS (CRNA)
NPI
1841241676
Phone
(618) 222-3200
Address
311 W LINCOLN ST
Enumeration Date
15 May 2006
Last Update Date
3 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183325480
Graduation Year
2000 (26 years ago)
PAC ID
0042205734
Group Practice PAC ID
2567369473
Professional Enrollment ID
I20081121000156
Address ID
IL622072326CE5900XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for MARTHA HARRIS (CRNA)

  • 311, West Lincoln Street, Belleville, Saint Clair County, Illinois, 62220, United States

    SUITE 201

    BELLEVILLE, IL 622201902

    Phone: (618) 222-3200

    Fax: (618) 222-3203

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20081121000156ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62220)

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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: 2567369473View full group profile
NameSpecialtyState
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARTHA HARRIS (CRNA)?
MARTHA HARRIS (CRNA) — NPI 1841241676 — is the standard way to identify this listing.
Does CMS list MARTHA HARRIS (CRNA) as active?
Yes — MARTHA HARRIS (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes MARTHA HARRIS (CRNA)?
For research purposes, treat MARTHA HARRIS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARTHA HARRIS (CRNA)?
MARTHA HARRIS (CRNA)'s geographic hint is Belleville, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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