Stacy L Harris, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

  1. Home
  2. Nurse Anesthetist - CR
  3. FL
  4. Jacksonville
Stacy L Harris, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mayo Clinic - Florida, Sunshine State Anesthesia Partners Llc and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 953-2000.

Stacy L Harris is licensed to practice in Florida (license number APRN11013360) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053490466.

Contact Information

Stacy L Harris, CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available

Map and Direction




Provider's Profile

Full NameStacy L Harris
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy L Harris graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1053490466
  • Provider Enumeration Date: 11/04/2006
  • Last Update Date: 08/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759475247
  • Enrollment ID: I20210720001225

Medical Identifiers

Medical identifiers for Stacy L Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053490466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN52790L (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered APRN11013360 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic FloridaJacksonville, FLHospital
Memorial Hospital JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic - Florida56986892971328
Sunshine State Anesthesia Partners Llc8123434792365

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy L Harris allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388
Entity NameQuiescence Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942671805
PECOS PAC ID: 2567750359
Enrollment ID: O20161011001486
Entity NameVision Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134740319
PECOS PAC ID: 0648691592
Enrollment ID: O20200601001043
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003
Entity NameOverwatch Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528616810
PECOS PAC ID: 3678949146
Enrollment ID: O20230404001489

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy L Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy L Harris, CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000		Stacy L Harris, CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Lauren E Freed, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Sarah Anne Piscitello, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 904-477-5855    
Kristina Schneider, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Mr. Bruce Anthony Wilburn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2165 Herschel St, Jacksonville, FL 32204
Phone: 904-387-1220    
Tabitha Jay Barrett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 954-939-5216    
Kristin Denise Brown,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.