Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Harris, STUDENT

Individual provider Certified Registered Nurse Anesthetist · NPI 1508570359

Jared Harris, STUDENT is a Certified Registered Nurse Anesthetist (CRNA) in Worcester, Massachusetts. Qualified in 2025, 1 year ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2023
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 856-3271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN2317904 (MA)

Record details

NPI number1508570359
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorYes
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address67 Millbrook St Ste Mk2-109, Worcester, MA 01606-2835

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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