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Stacey Harminson, PA-C

NPI 1710093018ActiveIndividual· Physician Assistant· Mattoon, IL

Physician Assistant (PA-C) with Sarah Bush Lincoln Health Center, practicing in Mattoon, Illinois. Enrolled in Medicare as practitioner - physician assistant. Revance Therapeutics, Inc. reported $143.49 in payments in 2025, mostly food and beverage. Lists Sarah Bush Lincoln Health Center as a hospital affiliation.

Overview

NPI1710093018
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedAug 21, 2006
Last updated in NPPESSep 25, 2026
Certified by providerSep 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085-001452IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IL)

Medicare sources and data years

Education and affiliations

Graduation year2000
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$143.49 · 1 payment from 1 company
  • 2024$42.32 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Revance Therapeutics, Inc.$143.491

What the 2025 payments were for

  • Food and Beverage$143.49 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Mattoon

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