DANIELLE DAWN DUNCAN APRN-CNP
NPI 1225568827
Nurse Practitioner - Family in Columbus, OH

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1145 OLENTANGY RIVER RD, COLUMBUS, OH 43212(614) 293-4040(614) 293-3465 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Apr 19, 2018, Apr 12, 2018 and 1 more (4 updates tracked since 2017).

About Danielle Dawn Duncan Aprn-cnp NPPES

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

DANIELLE DAWN DUNCAN APRN-CNP (NPI 1225568827) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.020967) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225568827
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE DAWN DUNCANCredential: APRN-CNP
Location Address1145 OLENTANGY RIVER RDColumbus, OH 43212-3117
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4040 · Fax (614) 293-3465
Fax(614) 293-3465
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateMay 27, 20254 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1225568827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.020967
1145 OLENTANGY RIVER RD, Columbus, OH 43212

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

Danielle Dawn Duncan Aprn-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 ID4486929338
PECOS Enrollment IDI20171003007611
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.

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Internal Medicine (Medical Oncology)
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Nurse Practitioner (Adult Health)
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Pharmacist
1145 OLENTANGY RIVER RD, SUITE 2121
COLUMBUS, OH 43212
Surgery (Surgical Oncology)
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Nurse Practitioner
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Plastic Surgery
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Physician Assistant
1145 OLENTANGY RIVER RD
COLUMBUS, OH 43212

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 Danielle Duncan's NPI number?

The NPI number for Danielle Duncan is 1225568827. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Danielle Duncan located?

Danielle Duncan practices at 1145 Olentangy River Rd, Columbus, OH 43212. The listed phone number is (614) 293-4040.

What is Danielle Duncan's specialty?

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

Is Danielle Duncan enrolled in Medicare?

Yes. Danielle Duncan 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 Danielle Duncan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Danielle Duncan 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 Danielle Duncan affiliated with any hospitals?

According to CMS data, Danielle Duncan is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Danielle Duncan was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.