DENISE MICHELLE DUFFY CNP
NPI 1194219949
Nurse Practitioner in Waverly, OH

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
835 W EMMITT AVE, WAVERLY, OH 45690(740) 947-7662(740) 941-0099 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2020, Jul 20, 2020, Oct 11, 2019 and 2 more (5 updates tracked since 2018).

About Denise Michelle Duffy Cnp NPPES

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

DENISE MICHELLE DUFFY CNP (NPI 1194219949) is an individual nurse practitioner in Waverly, Ohio, licensed in Ohio (APRN.CNP.023245) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194219949
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDENISE MICHELLE DUFFYCredential: CNP
Location Address835 W EMMITT AVEWaverly, OH 45690-1190
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Fax(740) 941-0099
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateDecember 21, 20205 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1194219949 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 OH · APRN.CNP.023245
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.

835 W EMMITT AVE, Waverly, OH 45690

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

Denise Michelle Duffy Cnp 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 ID8921358409
PECOS Enrollment IDI20180904001888
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.
28 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
835 W EMMITT AVE
WAVERLY, OH 45690
Nurse Practitioner
835 W EMMITT AVE
WAVERLY, OH 45690
Pharmacy (Community/Retail Pharmacy)
835 W EMMITT AVE
WAVERLY, OH 45690
Physician Assistant
835 W EMMITT AVE
WAVERLY, OH 45690
Pediatrics
835 W EMMITT AVE
WAVERLY, OH 45690
Nurse Practitioner
835 W EMMITT AVE
WAVERLY, OH 45690
Physician Assistant
835 W EMMITT AVE
WAVERLY, OH 45690
Family Medicine
835 W EMMITT AVE
WAVERLY, OH 45690

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 Denise Duffy's NPI number?

The NPI number for Denise Duffy is 1194219949. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Denise Duffy located?

Denise Duffy practices at 835 W Emmitt Ave, Waverly, OH 45690. The listed phone number is (740) 947-7662.

What is Denise Duffy's specialty?

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

Is Denise Duffy enrolled in Medicare?

Yes. Denise Duffy 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 Denise Duffy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Denise Duffy 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 Denise Duffy affiliated with any hospitals?

According to CMS data, Denise Duffy is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Denise Duffy was last updated on December 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.