MS. NICOLE MARIE HARRIS MSN, PMHNP-BC
NPI 1497341994
Nurse Practitioner - Psychiatric/Mental Health in Peoria, IL

Q: What is Nicole Harris's NPI number?

The NPI number for Nicole Harris is 1497341994. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Q: What is Nicole Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Harris was last updated on July 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment

228 NE JEFFERSON AVE, PEORIA, IL 61603(309) 671-8000 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2022, Dec 30, 2020, Dec 18, 2020 (3 updates tracked since 2020).

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About Ms. Nicole Marie Harris Msn, Pmhnp-bc NPPES

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

MS. NICOLE MARIE HARRIS MSN, PMHNP-BC (NPI 1497341994) is an individual psychiatric/mental health provider in Peoria, Illinois, licensed in Illinois (209.021964) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497341994

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. NICOLE MARIE HARRISCredential: MSN, PMHNP-BC

Location Address228 NE JEFFERSON AVEPeoria, IL 61603-3802

Mailing Address228 Ne Jefferson AvePeoria, IL 61603-3802 · (309) 671-8000

Phone(309) 671-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 18, 2020

Last NPPES UpdateJuly 27, 20253 updates tracked since enumeration

NPPES CertifiedJuly 27, 2025

✔ NPI 1497341994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.021964

228 NE JEFFERSON AVE, Peoria, IL 61603

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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

Ms. Nicole Marie Harris Msn, Pmhnp-bc 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 ID8123535127

PECOS Enrollment IDI20250725000255

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.

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.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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