JANEL REBECCA DURHAM FNP-C
NPI 1154816312
Nurse Practitioner in Winston Salem, NC

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
186 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 277-2000(336) 277-2050 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Oct 26, 2020, Aug 21, 2018 and 1 more (4 updates tracked since 2018).

About Janel Rebecca Durham Fnp-c NPPES

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

JANEL REBECCA DURHAM FNP-C (NPI 1154816312) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5010644) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1154816312
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANEL REBECCA DURHAMCredential: FNP-C
Location Address186 KIMEL PARK DRWinston Salem, NC 27103-6946
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-2000 · Fax (336) 277-2050
Fax(336) 277-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateNovember 9, 20214 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
NPI 1154816312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5010644
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
186 KIMEL PARK DR, Winston Salem, NC 27103

Secondary Practice Location 1

Location 110479 N Nc Highway 109 Ste 107AWinston Salem, NC 27107 · Phone (336) 769-0246

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

Janel Rebecca Durham Fnp-c 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 ID6800145764
PECOS Enrollment IDI20180827000611
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 4

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.
405 services323 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
146 services129 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
33 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%23 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%28 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%36 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nuclear Medicine (Nuclear Cardiology)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Physician Assistant
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Nurse Practitioner
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Interventional Cardiology)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103

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 Janel Durham's NPI number?

The NPI number for Janel Durham is 1154816312. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Janel Durham located?

Janel Durham practices at 186 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 277-2000.

What is Janel Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Janel Durham enrolled in Medicare?

Yes. Janel Durham 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 Janel Durham accept?

Health plans from Blue Cross and Blue Shield of NC list Janel 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.

Is Janel Durham affiliated with any hospitals?

According to CMS data, Janel Durham is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Janel Durham was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.