HOLLY E HARMON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1013579820

HOLLY E HARMON (PMHNP) is a healthcare provider. based in Oblong, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 209.019582 (IL). The NPI Number for HOLLY E HARMON (PMHNP) is 1013579820

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY E HARMON (PMHNP)
NPI
1013579820
Phone
(618) 592-3119
Address
1366 E 1050TH AVE
Enumeration Date
1 July 2019
Last Update Date
11 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185923119
Graduation Year
2019 (7 years ago)
PAC ID
3971835380
Group Practice PAC ID
7719898071
Professional Enrollment ID
I20191104001250
Address ID
IL624491426OB104XXSTXX400

Contacts

Other Endpoint
crawfordmh.org
Secure Messaging
holly.harmon@crawfordmh.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for HOLLY E HARMON (PMHNP)

  • 1366, East 1050th Avenue, Oblong, Crawford County, Illinois, 62449, United States

    OBLONG, IL 624492409

    Phone: (618) 592-3119

    Fax: (618) 546-2602

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 133 Open Payments records for all available years, with a total value of $1,991.

Total Amount is formed as General ($1,991) + Research ($0) + Ownership ($0) = $1,991.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($506).

Total Amount

$1,991

General + Research + Ownership

Payments

133

Total payment records

General Amount

$1,991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-11-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191104001250INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719898071View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
P A T H O L O G YOH
Interventional Radiology, Diagnostic RadiologyPA
Emergency MedicineIL
Family Practice, Obstetrics/GynecologyIN
Orthopedic SurgeryWI
Hospitalist, Family Practice, Family PracticeIN
Emergency Medicine, Internal MedicineMS
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to HOLLY E HARMON (PMHNP)?
NPI 1013579820 is assigned to HOLLY E HARMON (PMHNP) under the national enumeration system.
Is HOLLY E HARMON (PMHNP) currently active in the NPI registry?
CMS-published data lists HOLLY E HARMON (PMHNP) as an active registrant.
What field does HOLLY E HARMON (PMHNP) work in?
You can think of HOLLY E HARMON (PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for HOLLY E HARMON (PMHNP)?
We surface Oblong, Illinois for HOLLY E HARMON (PMHNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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