COURTNEY HARLEY (ANP) – Nurse Practitioner, NPI 1003361049
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for COURTNEY HARLEY (ANP)
1401 E. 12th
Mendota, IL 61342
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
101 West 2nd St
Dixon, IL 61021
Phone: (309) 517-3036
Fax: (309) 676-8455
Type: Location
530 Park Ave East, Ste 403
Princeton, IL 61356
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
1050 E. Norris Dr., Suite 2C
Ottawa, IL 61350
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
920 West St, Ste 212
Peru, IL 61354
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
420 NE GLEN OAK AVE
STE 401
PEORIA, IL 616033168
Phone: (815) 526-2497
Fax: (309) 676-8455
Type: Mailing
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
302, Davis Street, Sandwich, DeKalb County, Illinois, 60548, United States
SANDWICH, IL 605482016
Phone: (815) 526-2497
Type: Mailing
2720, East New York Street, Aurora, DuPage County, Illinois, 60504, United States
STE 108
AURORA, IL 605029300
Phone: (630) 820-7045
Fax: (630) 820-7047
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161031000688 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99495 | Transitional care management services for problem of at least moderate complexity | 137 | 135 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 61342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine, Pediatric Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| - | IL | |
| Nurse Practitioner | IL |
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