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MS. DONNA L DUNCAN CNP
NPI 1194809012
Nurse Practitioner in Cincinnati, OH

Active since October 25, 2006PECOS Enrolled
1380 COMPTON ROAD, CINCINNATI, OH 45231(513) 931-9600(513) 931-1898 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Donna L Duncan Cnp NPPES

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

MS. DONNA L DUNCAN CNP (NPI 1194809012) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (COA.08834-NP) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194809012
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DONNA L DUNCANCredential: CNP
Location Address1380 COMPTON ROADCincinnati, OH 45231
Mailing Address1380 Compton RoadCincinnati, OH 45231 · (513) 931-9600 · Fax (513) 931-1898
Phone(513) 931-9600
Fax(513) 931-1898
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 29, 2015
✔ NPI 1194809012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · COA.08834-NP
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License COA.08834-NP (OH)
1380 COMPTON ROAD, Cincinnati, OH 45231
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Other Identifiers 2

Medicare PINDUNP22231
Medicaid2734223OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Donna L Duncan Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45231 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims43 services$6.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Duncan's NPI number?

The NPI number for Donna Duncan is 1194809012. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Donna Duncan located?

Donna Duncan practices at 1380 Compton Road, Cincinnati, OH 45231. The listed phone number is (513) 931-9600.

What is Donna Duncan's specialty?

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

Is Donna Duncan enrolled in Medicare?

Yes. Donna Duncan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donna Duncan was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.