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

KAMI JO LARSON HARLESS MD
NPI 1841533171
Family Medicine in Springfield, IL

Q: What is Kami Harless's NPI number?

The NPI number for Kami Harless is 1841533171. It was assigned to this individual provider in the NPPES registry on April 4, 2013. The provider is also known as Kami Jo Larson.

Q: What is Kami Harless's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kami Harless was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 04, 2013PECOS EnrolledAccepts Medicare Assignment

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-8161 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jun 17, 2016 (2 updates tracked since 2016).

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About Kami Jo Larson Harless Md NPPES

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

KAMI JO LARSON HARLESS MD (NPI 1841533171) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036.142057) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1841533171

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKAMI JO LARSON HARLESSCredential: MD

Location Address520 N 4TH STSpringfield, IL 62702-5208

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2488

Phone(217) 545-8000

Fax(217) 757-8161

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2013

Enumeration DateApril 4, 2013

Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1841533171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036.142057✔ Licensed in WA · MD60587321

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 036.142057 (IL)

520 N 4TH ST, Springfield, IL 62702

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Other Names 1

Former Name (1)Kami Jo Larson

Secondary Practice Locations 4

Location 1319 E Madison St Ste 1FSpringfield, IL 62701-3118 · Phone (217) 545-8000 · Fax (217) 757-8161

Location 22833 S Grand Ave E Ste 100Springfield, IL 62703-2175 · Phone (217) 535-3100 · Fax (217) 535-3104

Location 31401 Madison St, Ste. 100Seattle, WA 98104-1316 · Phone (206) 386-6197

Location 41600 E Clear Lake Ave Ste 120Springfield, IL 62703-1172 · Phone (217) 545-8000 · Fax (217) 679-1890

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

Kami Jo Larson Harless Md 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 ID7719205137

PECOS Enrollment IDI20161019000600, I20240122001219

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

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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.

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.

MRS. AMANDA B HENSON LCSW

Social Worker (Clinical)