DONNA L HERNDON ARNP
NPI 1144373697
Nurse Practitioner - Adult Health in Ashland, KY

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
613 23RD ST STE 230, ASHLAND, KY 41101(606) 324-4745 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, May 15, 2018 (2 updates tracked since 2018).

About Donna L Herndon Arnp NPPES

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

DONNA L HERNDON ARNP (NPI 1144373697) is an individual adult health provider in Ashland, Kentucky, licensed in Kentucky (3547P) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144373697
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDONNA L HERNDONCredential: ARNP
Location Address613 23RD ST STE 230Ashland, KY 41101-2868
Mailing Address800 Saint Christopher DrAshland, KY 41101 · (606) 836-9613 · Fax (606) 836-0026
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 19, 2007
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
NPI 1144373697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in KY · 3547P
613 23RD ST STE 230, Ashland, KY 41101

Secondary Practice Locations 2

Location 1800 saint christopher drashland, KY 41101 · Phone (606) 836-9613 · Fax (606) 836-0026
Location 22201 Lexington AveAshland, KY 41101-2843 · Phone (606) 408-4000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donna L Herndon Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032256748
PECOS Enrollment IDI20091029000432
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services149 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$103.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Gerontology)
613 23RD ST STE 230
ASHLAND, KY 41101
Internal Medicine (Clinical Cardiac Electrophysiology)
613 23RD ST STE 230
ASHLAND, KY 41101
Internal Medicine (Cardiovascular Disease)
613 23RD ST STE 230
ASHLAND, KY 41101
Nurse Practitioner (Family)
613 23RD ST STE 230
ASHLAND, KY 41101
Internal Medicine (Cardiovascular Disease)
613 23RD ST STE 230
ASHLAND, KY 41101
Internal Medicine (Cardiovascular Disease)
613 23RD ST STE 230
ASHLAND, KY 41101
Nurse Practitioner (Family)
613 23RD ST STE 230
ASHLAND, KY 41101
Nurse Practitioner (Family)
613 23RD ST STE 230
ASHLAND, KY 41101

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 Donna Herndon's NPI number?

The NPI number for Donna Herndon is 1144373697. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Donna Herndon located?

Donna Herndon practices at 613 23rd St Ste 230, Ashland, KY 41101. The listed phone number is (606) 324-4745.

What is Donna Herndon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Donna Herndon enrolled in Medicare?

Yes. Donna Herndon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Herndon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Donna Herndon 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.

Is Donna Herndon affiliated with any hospitals?

According to CMS data, Donna Herndon is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Herndon was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.