Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336094523 Individual Practitioner Female Practitioner

Mariah Marie Harris , PA-C

Physician Assistant • Pewaukee, WI

Professional Overview & Biography Verified Profile Summary

Mariah Harris, PA-C is a registered healthcare professional specializing in Physician Assistant in Pewaukee, WI. Practice services are available at N15W28300 GOLF RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N15w28300 Golf Rd

Pewaukee, WI 530724800

Telephone 2623035055
Fax 2623035057
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pewaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Pewaukee, WI (3517 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100423444 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1053033258

Doctor of Physical Therapy

Dr. Mick Kelly , MD

Orthopaedic Surgery

NPI 1053793208

Doctor of Medicine (M.D.)

Dr. William Davies , MD

Orthopaedic Surgery

NPI 1104809458

Doctor of Medicine (M.D.)

Dr. Paul Johnson , MD

Orthopaedic Surgery

NPI 1124381710

Doctor of Medicine (M.D.)

Dr. Annika Haley , DPT

Physical Therapist

NPI 1124782818

Doctor of Physical Therapy

Nina Jankins , PTA

Physical Therapy Assistant

NPI 1124914395

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 08, 2026

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

📍
Updated Business Mailing Address June 08, 2026

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

👤
Provider Name / Credentials Updated June 08, 2026

Recorded as MARIAH HARRIS, PA-C

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

Physician Assistant (License #8949-23 in WI)

NPI Profile Active March 03, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2026

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

📍
Updated Business Mailing Address March 03, 2026

Registered at 2558 JAKE DR, NEW FRANKEN, WI 542299541

👤
Provider Name / Credentials Updated March 03, 2026

Recorded as MARIAH HARRIS

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

N15w28300 Golf Rd

Pewaukee, WI 530724800

Phone: 2623035055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.