Mimi Harzan, MSPA, PA-C
NPI 1477175446ActiveIndividual· Physician Assistant· Bend, OR
Physician Assistant (MSPA, PA-C) with St Charles Health System Inc, practicing in Bend, Oregon. 121 Medicare patients in 2024, $11,706 paid; nearly all of their 50 Part D prescriptions were generic (96%). Kerecis Limited reported $70.73 in payments in 2024, mostly food and beverage. Lists St Charles Medical Center - Bend as a hospital affiliation.
Overview
| NPI | 1477175446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSPA, PA-C |
| Sole proprietor | Yes |
| NPI issued | May 13, 2020 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085008538 | IL |
| Physician Assistant, Medical | 363AM0700X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 176 across 27 procedure codes |
| Paid by Medicare | $11,706 |
Part D prescriptions in 2024
| Prescriptions (claims) | 50 · 50 30-day fills |
|---|---|
| Patients | 33 |
| Total drug cost | $912.16 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Charles Health System IncBend, OR · 377 clinicians
Hospital affiliation
- St Charles Medical Center - BendBend, OR
Industry payments (Open Payments)
- 2024$70.73 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $70.73 | 1 |
What the 2024 payments were for
- Food and Beverage$70.73 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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