JEFFREY NATHAN HARRIS (M.D.) – Emergency Medicine Physician, NPI 1225188709

JEFFREY NATHAN HARRIS (M.D.) is a healthcare provider. based in Nellis afb, Nevada. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101244995 (VA). The NPI Number for JEFFREY NATHAN HARRIS (M.D.) is 1225188709

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY NATHAN HARRIS (M.D.)
NPI
1225188709
Phone
Not provided
Address
4700 LAS VEGAS BLVD N BLDG 1300
Enumeration Date
10 January 2007
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7757385151
Graduation Year
2005 (21 years ago)
PAC ID
3971631813
Group Practice PAC ID
6901883438
Professional Enrollment ID
I20141216001820
Address ID
NV898018333EL2001XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

Provider Addresses for JEFFREY NATHAN HARRIS (M.D.)

  • 4700 LAS VEGAS BLVD N BLDG 1300

    NELLIS AFB, NV 891916600

    Phone:

    Type: Mailing

  • 4881 SUGAR MAPLE DR

    WRIGHT PATTERSON AFB, OH 454335529

    Phone:

    Type: Mailing

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: 2014-12-16

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
I20141216001820IEmergency MedicineNVTBD

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 89191)

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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: 6901883438View full group profile
NameSpecialtyState
Emergency MedicineNM
Emergency MedicineNV
-NV
Emergency MedicineAL
Emergency MedicineNV
-SC
Nurse PractitionerNV
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineUT

Reviews

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Frequently asked questions

How is JEFFREY NATHAN HARRIS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JEFFREY NATHAN HARRIS (M.D.) with NPI 1225188709.
Can I rely on JEFFREY NATHAN HARRIS (M.D.) being an active provider?
As of the registry snapshot, JEFFREY NATHAN HARRIS (M.D.) is marked active.
What is JEFFREY NATHAN HARRIS (M.D.)'s specialty?
The listing groups JEFFREY NATHAN HARRIS (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JEFFREY NATHAN HARRIS (M.D.) based?
JEFFREY NATHAN HARRIS (M.D.) is tied to Nellis Afb, Nevada in the data we show; additional addresses may exist on the full record.
Is the information about JEFFREY NATHAN HARRIS (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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