Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mimi Harzan , MSPA, PA-C

Physician Assistant โ€ข Bend, OR

Active NPI 1477175446 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2200 Ne Neff Rd Ste 302
Bend, OR 977014279

Call 5417066915 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Neff Rd Ste 302

Bend, OR 977014279

Telephone 5417066915
Fax 5417066733
Organization at the Same NPPES Address or Phone
Arthritis And Osteoporsis Clinic Llc Facility NPI 1053442855

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Carbondale, IL; Herrin, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Southern Illinois Medical Services Nfp; St Charles Health System Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

121 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $11,406 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $8,201 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

73 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$866 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $70.73 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mimi Harzan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mimi Harzan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bend and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: 368. Middle half: 138 to 1,481.

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: $30,677. Middle half: $12,772 to $72,713.

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.

Paid by Medicare

A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: $22,425. Middle half: $9,329 to $52,415.

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Mimi Harzan are from 2023.

186 active clinicians are listed under Physician Assistant with a practice address in Bend, OR (2,095 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

29% of these 186 clinicians have the CMS telehealth indicator.

81.7% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $70.73.

Manufacturer Payment Nature Product Type Amount ($)
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis Omega3 SurgiClose General $70.73

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
60 36 $128.00 $64.71
99285 Emergency department visit with high level of medical decision making
29 28 $436.00 $144.81
99284 Emergency department visit with moderate level of medical decision making
17 17 $289.00 $100.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
15 15 $211.00 $107.62

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 19 137 $129.87 19
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 16 141 $135.40 16
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 15 29 $51.34 15
Diclofenac Sodium Diclofenac Sodium 11 265 $502.71 11
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 11 81 $47.09 11

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085008538

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250814004841

Enrollment State Jurisdiction

OR

PECOS Control ID

4385035955

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Southern Illinois Medical Services Nfp

405 W Jackson St, Carbondale, IL 629011462

Phone: 6185490721

Southern Illinois Medical Services Nfp

2601 W Main St, Carbondale, IL 629011031

Phone: 6185495361

Southern Illinois Medical Services Nfp

305 W Jackson St, Carbondale, IL 629011474

St Charles Health System Inc

2500 Ne Neff Rd, Bend, OR 977016015

Phone: 5417067715

St Charles Health System Inc

2500 Ne Neff Rd, Bend, OR 977016015

St Charles Health System Inc

211 Nw Larch Ave, Redmond, OR 977561357

Phone: 5415482164

Secondary Practice Locations

220 S Park Ave Fl 3

Herrin, IL 629483602

Phone: 6189422002

305 W Jackson St Ste 206

Carbondale, IL 629011474

Phone: 6184573006

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

28 listed
NPI 1841580503

Doctor of Medicine (M.D.)

Daniel Cosgro , PA-C

Physician Assistant - Surgical

NPI 1972588572

Physician Assistant (Certified)

Kristopher Cox , PA-C

Physician Assistant

NPI 1871936880

Physician Assistant (Certified)

Nicole Deboer , ARNP

Nurse Practitioner - Family

NPI 1861191702

Advanced Registered Nurse Practitioner

Aleah Driscoll , PA-C

Physician Assistant - Medical

NPI 1417555251

Physician Assistant (Certified)

Dr. Nicholas Faunce , MD

Surgery - Surgical Critical Care

NPI 1598287567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location October 01, 2025

Registered at 2200 NE NEFF RD STE 302, BEND, OR 977014279 (Tel: 5417066915)

๐Ÿ“
Updated Practice Location November 18, 2024

Registered at 305 W JACKSON ST STE 206, CARBONDALE, IL 629011474 (Tel: 6184573006)

๐Ÿ‘ค
Provider Name / Credentials Updated May 01, 2023

Recorded as MIMI HARZAN, MSPA, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Physician Assistant

๐Ÿ“
Updated Practice Location February 02, 2022

Registered at 405 W JACKSON ST, CARBONDALE, IL 629011462 (Tel: 6185490721)

๐Ÿ“
Updated Business Mailing Address February 02, 2022

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Student in an Organized Health Care Education/Training Program

๐Ÿ‘ค
Provider Name / Credentials Updated August 13, 2021

Recorded as MIMI CHARTER, MSPA, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2021

Physician Assistant

โœ…
NPI Profile Active May 13, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 13, 2020

Registered at 614 S SKYLINE DR, CARBONDALE, IL 629012214 (Tel: 5416479166)

๐Ÿ“
Business Mailing Address (Initial Record) May 13, 2020

Registered at 614 S SKYLINE DR, CARBONDALE, IL 629012214 (Tel: 5416479166)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 13, 2020

Recorded as MIMI CHARTER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 13, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477175446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2020
Last Update: October 01, 2025
Sole Proprietor: Yes

Other Physician Assistants in Bend

All Physician Assistants in Bend

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.