Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COURTNEY HARLEY ANP
NPI 1003361049
Nurse Practitioner in Peoria, IL

Q: 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.

Q: What is Courtney Harley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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 51 days 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.

Active since August 19, 2016PECOS EnrolledAccepts Medicare Assignment

91.35/100

CMS Quality Rating

420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2025, Nov 14, 2025, Aug 19, 2016 (3 updates tracked since 2016).

On this page

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 Edward Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1003361049

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCOURTNEY HARLEYCredential: ANP

Location Address420 NE GLEN OAK AVE STE 401Peoria, IL 61603

Mailing Address420 Ne Glen Oak Ave, Ste 401Peoria, IL 61603-3168 · (815) 526-2497 · Fax (309) 676-8455

Phone(309) 676-8123

Fax(309) 676-8455

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 19, 2016

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1003361049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209014711

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209014711 (IL)

420 NE GLEN OAK AVE STE 401, Peoria, IL 61603

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1101 West 2nd StDixon, IL 61021 · Phone (309) 517-3036 · Fax (309) 676-8455

Location 2530 Park Ave East, Ste 403Princeton, IL 61356 · Phone (309) 676-8123 · Fax (309) 676-8455

Location 31050 E. Norris Dr., Suite 2BOttawa, IL 61350 · Phone (309) 676-8123 · Fax (309) 676-8455

Location 4920 West St, Ste 212Peru, IL 61354 · Phone (309) 676-8123 · Fax (309) 676-8455

Location 51401 E. 12thMendota, IL 61342 · Phone (309) 676-8123 · Fax (309) 676-8455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6709164536

PECOS Enrollment IDI20161031000688

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

126 services125 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Physician 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.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.71

Promoting Interoperability

100

Improvement Activities

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.

KUMARPAL SHRISHRIMAL MD

Internal Medicine (Nephrology)