ASHLEY DURHAM APRN, CNM, FNP
NPI 1083374276
Nurse Practitioner - Family in Henderson, KY

Q: What is Ashley Durham's NPI number?

The NPI number for Ashley Durham is 1083374276. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Q: What is Ashley Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Durham was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2021PECOS Enrolled

319 8TH ST STE C, HENDERSON, KY 42420(270) 830-3056(270) 830-3058 Get Directions Write a Review

NPPES record last updated: April 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, Dec 13, 2023, Jun 19, 2023 and 3 more (6 updates tracked since 2022).

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About Ashley Durham Aprn, Cnm, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY DURHAM APRN, CNM, FNP (NPI 1083374276) is an individual family provider in Henderson, Kentucky, licensed in Kentucky (4019410) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083374276

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY DURHAMCredential: APRN, CNM, FNP

Location Address319 8TH ST STE CHenderson, KY 42420-2963

Mailing Address319 8th St Ste CHenderson, KY 42420-2963 · (270) 830-3056 · Fax (270) 830-3058

Phone(270) 830-3056

Fax(270) 830-3058

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 29, 2021

Last NPPES UpdateApril 20, 20256 updates tracked since enumeration

NPPES CertifiedApril 20, 2025

✔ NPI 1083374276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4019410

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3017177 (KY)

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 3017177 (KY)

319 8TH ST STE C, Henderson, KY 42420

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Durham Aprn, Cnm, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274072459

PECOS Enrollment IDI20250321000862

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ashley Durham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henderson Birth And Wellness, PLLC

Same address

Clinic/Center

319 8TH ST STE C
Henderson, KY 42420

Reassigned Medicare billing, Kentucky enrollment

NPI 1851021083 (270) 830-3056

Deaconess Clinic, Inc

0.3 mi

Pediatrics

1035 N ELM ST
Henderson, KY 42420

Reassigned Medicare billing, Kentucky enrollment
174 clinicians in this Medicare group

NPI 1003159997 (270) 827-4596

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENDERSON BIRTH AND WELLNESS, PLLC

Clinic/Center

319 8TH ST STE C
HENDERSON, KY 42420

Henderson County (270) 830-3056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Durham's NPI number?

The NPI number for Ashley Durham is 1083374276. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Ashley Durham located?

Ashley Durham practices at 319 8th St Ste C, Henderson, KY 42420. The listed phone number is (270) 830-3056.

What is Ashley Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Durham enrolled in Medicare?

Yes. Ashley Durham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Durham reassigns Medicare benefits to 2 organizations: Henderson Birth And Wellness, PLLC (Henderson, KY) and Deaconess Clinic, Inc (Henderson, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Durham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ashley Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Durham was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.