COURTNEY HARLEY ANP
NPI 1003361049
Nurse Practitioner in Peoria, IL
About Courtney Harley Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY HARLEY ANP (NPI 1003361049) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209014711) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Courtney Harley Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Courtney Harley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61603
- Reassigned Medicare billing, Illinois enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILEdward Hospital
Acute Care Hospitals · Naperville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61603
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Courtney Harley's NPI number?
The NPI number for Courtney Harley is 1003361049. It was assigned to this individual provider in the NPPES registry on August 19, 2016.
Where is Courtney Harley located?
Courtney Harley practices at 420 NE Glen Oak Ave Ste 401, Peoria, IL 61603. The listed phone number is (309) 676-8123.
What is Courtney Harley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Courtney Harley enrolled in Medicare?
Yes. Courtney Harley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Courtney Harley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Harley reassigns Medicare benefits to Renalcare Associates, S.C. (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Harley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Harley accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Courtney Harley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Courtney Harley affiliated with any hospitals?
According to CMS data, Courtney Harley is affiliated with Osf Saint Elizabeth Mdl Ctr and Edward Hospital.
When was this NPI record last updated?
The NPPES record for Courtney Harley was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Courtney Harley, ANP · NPI 1003361049
Nurse Practitioner physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since August 19, 2016.
## Identity
- **NPI:** 1003361049 (Entity type: Individual)
- **Enumerated:** August 19, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209014711 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 NE GLEN OAK AVE STE 401, Peoria, IL 61603
- **Phone:** (309) 676-8123 · **Fax:** (309) 676-8455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renalcare Associates, S.C. (NPI 1649300377, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003361049) · Data from the CMS NPPES public registry.