MIMI HARZAN MSPA, PA-C
NPI 1477175446
Physician Assistant in Bend, OR
About Mimi Harzan Mspa, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIMI HARZAN MSPA, PA-C (NPI 1477175446) is an individual physician assistant in Bend, Oregon, licensed in Illinois (085008538) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
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
Mimi Harzan Mspa, Pa-c 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.
Areas of Expertise CMS Part B claims 4
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.
Memorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILSt Charles Medical Center - Bend
Acute Care Hospitals · Bend, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97701 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.
BEND, OR 97701
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 Mimi Harzan's NPI number?
The NPI number for Mimi Harzan is 1477175446. It was assigned to this individual provider in the NPPES registry on May 13, 2020. The provider is also known as Mimi Charter Mspa, Pa-C.
Where is Mimi Harzan located?
Mimi Harzan practices at 2200 NE Neff Rd Ste 302, Bend, OR 97701. The listed phone number is (541) 706-6915.
What is Mimi Harzan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mimi Harzan enrolled in Medicare?
Yes. Mimi Harzan 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.
What insurance does Mimi Harzan accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mimi Harzan 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 Mimi Harzan affiliated with any hospitals?
According to CMS data, Mimi Harzan is affiliated with Memorial Hospital Of Carbondale and St Charles Medical Center - Bend.
When was this NPI record last updated?
The NPPES record for Mimi Harzan was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mimi Harzan, MSPA, PA-C · NPI 1477175446
Physician Assistant physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1477175446 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 085008538 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2200 NE NEFF RD STE 302, Bend, OR 97701-4279
- **Phone:** (541) 706-6915 · **Fax:** (541) 706-6733
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477175446) · Data from the CMS NPPES public registry.