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

Jared Scott Harris

Individual provider Registered Nurse · NPI 1689494700

Jared Scott Harris is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2021, 5 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514
Phone: (314) 218-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2024014974 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2018022439 (MO)

Record details

NPI number1689494700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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