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Active NPI 1477175446 Individual Practitioner Female Practitioner

Mimi Harzan , MSPA, PA-C

Physician Assistant • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mimi Harzan, MSPA, PA-C is a certified Physician Assistant practicing in Bend, OR. With approximately 5 years of clinical experience since completing medical education in 2021, Mimi Harzan delivers high-quality medical care to the local community at 2200 NE NEFF RD STE 302.

Mimi Harzan maintains professional affiliations with St Charles Health System Inc, Southern Illinois Medical Services Nfp and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Neff Rd Ste 302

Bend, OR 977014279

Telephone 5417066915
Fax 5417066733
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bend, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
186 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate
29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Harzan (5 Years) 5 Yrs
Bend Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description 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 for life threatening or functioning severity
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

Medical Specialties & State Licenses

CMS Verified: 2025-10-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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

Definition to come...

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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Debora Leonardo , FNP-BC

Nurse Practitioner - Family

NPI 1033661327

Family Nurse Practitioner (Board Certified)

NPI 1093008617

Doctor of Medicine (M.D.)

NPI 1104029768

Doctor of Medicine (M.D.)

NPI 1104857770

Doctor of Medicine (M.D.)

NPI 1134462302

Doctor of Medicine (M.D.)

Emily Maxwell , PA-C

Physician Assistant

NPI 1134647241

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location October 01, 2025

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

📍
Updated Practice Location November 18, 2024

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

👤
Provider Name / Credentials Updated May 01, 2023

Recorded as MIMI HARZAN, MSPA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Physician Assistant

📍
Updated Practice Location February 02, 2022

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

📍
Updated Business Mailing Address February 02, 2022

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Student in an Organized Health Care Education/Training Program

👤
Provider Name / Credentials Updated August 13, 2021

Recorded as MIMI CHARTER, MSPA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2021

Physician Assistant

NPI Profile Active May 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2020

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

📍
Updated Business Mailing Address May 13, 2020

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

👤
Provider Name / Credentials Updated May 13, 2020

Recorded as MIMI CHARTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.