Courtney Harley, ANP - Medicare Nurse Practitioner in Peoria, IL

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Courtney Harley, ANP is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 676-8123.

Courtney Harley is licensed to practice in Illinois (license number 209014711) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003361049.

Contact Information

Courtney Harley, ANP
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603
(309) 676-8123
(309) 676-8455

Map and Direction




Provider's Profile

Full NameCourtney Harley
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location420 Ne Glen Oak Ave Ste 401, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney Harley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1003361049
  • Provider Enumeration Date: 08/19/2016
  • Last Update Date: 11/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6709164536
  • Enrollment ID: I20161031000688

Medical Identifiers

Medical identifiers for Courtney Harley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003361049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209014711 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Home HealthDowners grove, ILHome health agency
Edward HospitalNaperville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346993022

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Courtney Harley allows following entities to bill medicare on her behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616
Entity NameEndeavor Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NameAdvanced Integrative Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497937536
PECOS PAC ID: 4789610619
Enrollment ID: O20050712001134
Entity NameDivine Hospice & Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437517547
PECOS PAC ID: 2062705957
Enrollment ID: O20200603000906

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Harley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courtney Harley, ANP
302 Davis St,
Sandwich, IL 60548-2016

Ph: (815) 526-2497		Courtney Harley, ANP
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603

Ph: (309) 676-8123

Reviews and Comments


Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537
Phone: 309-624-8818    
Faye Yetton, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2015 W Austin Dr, Peoria, IL 61614
Phone: 309-256-0632    
Linda Schmidgall,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603
Phone: 309-624-5100    Fax: 309-624-5569
Sandra L. Peach, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2343    Fax: 309-655-3948
Roxanne Mclaughlin, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2974    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.