1. Home
  2. Directory
  3. Illinois
  4. Kewanee
  5. Physician Assistant
  6. NPI Profile

MRS. NICOLE LYNN HARMON PA
NPI 1003634536
Physician Assistant in Kewanee, IL

Active since October 02, 2024PECOS EnrolledAccepts Medicare Assignment
1051 W SOUTH ST, KEWANEE, IL 61443(309) 852-7700(309) 852-7764 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Lynn Harmon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE LYNN HARMON PA (NPI 1003634536) is an individual physician assistant in Kewanee, Illinois and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Pekin Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003634536
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE LYNN HARMONCredential: PA
Location Address1051 W SOUTH STKewanee, IL 61443-8354
Mailing Address1051 W South StKewanee, IL 61443-8354 · (309) 852-7700
Phone(309) 852-7700
Fax(309) 852-7764
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 2, 2024
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1003634536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
1051 W SOUTH ST, Kewanee, IL 61443
Open in Google Maps ↗

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

Mrs. Nicole Lynn Harmon Pa 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 ID5496283798
PECOS Enrollment IDI20250115000266
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.

Hospital Affiliations CMS Care Compare 2

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61443 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARA SUZANNE UMPHFLEET RD, LDN
Dietitian, Registered
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7734
MIKA LYNN JOHNSON APRN, CNP
Nurse Practitioner (Gerontology)
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (815) 454-2811
OSF HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7700
KEWANEE HOSPITAL
Rehabilitation Unit
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7500
AMANDA BROWN
Speech-Language Pathologist
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7500
MRS. MARY KATHLEEN GORDON OTR/L
Occupational Therapist
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7931
LORI L LUBBS LCPC
Counselor (Professional)
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7700
KEWANEE HOSPITAL
Rehabilitation Unit
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7500

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 Nicole Harmon's NPI number?

The NPI number for Nicole Harmon is 1003634536. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Nicole Harmon located?

Nicole Harmon practices at 1051 W South St, Kewanee, IL 61443. The listed phone number is (309) 852-7700.

What is Nicole Harmon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Harmon enrolled in Medicare?

Yes. Nicole Harmon 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.

Is Nicole Harmon affiliated with any hospitals?

According to CMS data, Nicole Harmon is affiliated with Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Nicole Harmon was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.