KIMBERLY DAWN HARRIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003041617

KIMBERLY DAWN HARRIS (CRNA) is a healthcare provider. based in Detroit, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704169677 (MI). The NPI Number for KIMBERLY DAWN HARRIS (CRNA) is 1003041617

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY DAWN HARRIS (CRNA)
NPI
1003041617
Phone
(888) 278-4126
Address
PO BOX 67000
Enumeration Date
27 May 2009
Last Update Date
28 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137453615
Graduation Year
2008 (18 years ago)
PAC ID
1759433188
Group Practice PAC ID
9638481591
Professional Enrollment ID
I20090716000286
Address ID
MI482012153DE4201XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for KIMBERLY DAWN HARRIS (CRNA)

  • PO BOX 67000

    DEPT 203401

    DETROIT, MI 482670002

    Phone: (888) 278-4126

    Type: Mailing

  • Harper University Hospital, 3990, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012018

    Phone: (313) 745-8521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$33
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: 2009-07-16

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
I20090716000286ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00142Anesthesia for lens surgery1414$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 48267)

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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: 9638481591View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Anesthesiology, Critical Care (Intensivists)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

What NPI should I save for KIMBERLY DAWN HARRIS (CRNA)?
Save NPI 1003041617 if you need a stable reference for KIMBERLY DAWN HARRIS (CRNA).
Is KIMBERLY DAWN HARRIS (CRNA) active in the national directory?
KIMBERLY DAWN HARRIS (CRNA)'s public NPI profile is in an active state.
What field does KIMBERLY DAWN HARRIS (CRNA) work in?
You can think of KIMBERLY DAWN HARRIS (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for KIMBERLY DAWN HARRIS (CRNA)?
We surface Detroit, Michigan for KIMBERLY DAWN HARRIS (CRNA) based on available NPPES addresses.
Is KIMBERLY DAWN HARRIS (CRNA) a real provider?
This page reflects official NPPES data for NPI 1003041617. Always confirm identity and privileges with the practice and licensing boards.

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