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Mariah Marie Harris , PA-C

Physician Assistant β€’ Pewaukee, WI

Active NPI 1336094523 Individual Practitioner Female Practitioner
Practice location in NPPES

N15w28300 Golf Rd
Pewaukee, WI 530724800

Call 2623035055 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

N15w28300 Golf Rd

Pewaukee, WI 530724800

Telephone 2623035055
Fax 2623035057
Organization at the Same NPPES Address or Phone
Orthopaedic Associates Of Wisconsin, Sc Facility NPI 1689656951

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Mariah Harris as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pewaukee and Wisconsin

20 active clinicians are listed under Physician Assistant with a practice address in Pewaukee, WI (3,476 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pewaukee

5% of these 20 clinicians have the CMS telehealth indicator.

95% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 8949-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100423444 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Laith Al-Shihabi , MD

Orthopaedic Surgery - Hand Surgery

NPI 1861713265

Doctor of Medicine (M.D.)

Matthew Blievernicht , PT

Physical Therapist

NPI 1760640213

Physical Therapist

Kyle Blindauer , PA-C

Physician Assistant

NPI 1700343753

Physician Assistant (Certified)

Dr. Ljiljana Bogunovic , MD

Orthopaedic Surgery - Sports Medicine

NPI 1821227406

Doctor of Medicine (M.D.)

Dr. Jeffrey Coppage , MD

Orthopaedic Surgery - Hand Surgery

NPI 1528382413

Doctor of Medicine (M.D.)

Dr. Derek Damrow , MD

Orthopaedic Surgery

NPI 1770016008

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 08, 2026

Registered at N15W28300 GOLF RD, PEWAUKEE, WI 530724800 (Tel: 2623035055)

πŸ“
Updated Business Mailing Address June 08, 2026

Registered at N15W28300 GOLF RD, PEWAUKEE, WI 530724800 (Tel: 2623035055)

πŸ‘€
Provider Name / Credentials Updated June 08, 2026

Recorded as MARIAH HARRIS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2026

Physician Assistant (license number reported to NPPES: WI 8949-23)

βœ…
NPI Profile Active March 03, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2026

Registered at 2558 JAKE DR, NEW FRANKEN, WI 542299541 (Tel: 9206800664)

πŸ“
Business Mailing Address (Initial Record) March 03, 2026

Registered at 2558 JAKE DR, NEW FRANKEN, WI 542299541

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2026

Recorded as MARIAH HARRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2026

Physician Assistant

🟒
Initial NPI Registration & Enumeration March 03, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336094523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2026
Last Update: July 21, 2026
Sole Proprietor: No

Other Physician Assistants in Pewaukee

All Physician Assistants in Pewaukee

Mailing Address

N15w28300 Golf Rd

Pewaukee, WI 530724800

Phone: 2623035055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.