Active NPI
Courtney Harley, ANP
- Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209014711
- Practice address
- 420 NE Glen Oak Ave Ste 401
Peoria, IL 61603 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- Aug 19, 2016
- Last updated
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209014711 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209014711 | IL |
Addresses
Primary practice location
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603
Mailing address
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603-3168
Phone (815) 526-2497
Other practice location 1
530 Park Ave East, Ste 403
Princeton, IL 61356
Phone (309) 676-8123
Other practice location 2
1050 E. Norris Dr., Suite 2B
Ottawa, IL 61350
Phone (309) 676-8123
Other practice location 3
920 West St, Ste 212
Peru, IL 61354
Phone (309) 676-8123
Other practice location 4
1401 E. 12th
Mendota, IL 61342
Phone (309) 676-8123
Other practice location 5
101 West 2nd St
Dixon, IL 61021
Phone (309) 517-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
920 W St
Suite 212
Peru, IL 61354-2769
Phone (309) 676-8123
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renalcare Associates, S.C. | Nurse Practitioner | Current | Accepting new patients |
| Illinois Valley Surgical Associates, SC | Past | Accepting new patients |
Locations
101 W 2nd St
Dixon, IL 61021
Phone (815) 284-0555
1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461
1050 E Norris Dr
Ste 2B
Ottawa, IL 61350
Phone (815) 431-0785
1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
920 West St
Ste 212
Peru, IL 61354
Phone (309) 680-5000
530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610
Interoperability endpoints
- charley223606@direct.edward.org
- charley84707@direct.acumenmd.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Ottawa, IL
- NPI 1427260207
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
dba Residential Home Health
- Home Health Agency
- Lisle, IL
- NPI 1336377365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1003361049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE",
"address_2": "STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033168",
"telephone_number": "815-526-2497",
"fax_number": "309-676-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "61603",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
}
],
"practiceLocations": [
{
"address_1": "530 Park Ave East, Ste 403",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IL",
"postal_code": "61356",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 E. Norris Dr., Suite 2B",
"address_purpose": "LOCATION",
"city": "Ottawa",
"state": "IL",
"postal_code": "61350",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 West St, Ste 212",
"address_purpose": "LOCATION",
"city": "Peru",
"state": "IL",
"postal_code": "61354",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 E. 12th",
"address_purpose": "LOCATION",
"city": "Mendota",
"state": "IL",
"postal_code": "61342",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 West 2nd St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "61021",
"country_code": "US",
"telephone_number": "309-517-3036",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLEY",
"first_name": "COURTNEY",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209014711",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209014711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.