JESSICA DURHAM FNP
NPI 1306504972
Nurse Practitioner - Family in Defiance, OH

Active since December 01, 2021PECOS EnrolledAccepts Medicare Assignment
78.93/100
CMS Quality Rating
1400 E 2ND ST, DEFIANCE, OH 43512(419) 783-3273(419) 783-2799 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Dec 1, 2021 (2 updates tracked since 2021).

About Jessica Durham Fnp NPPES

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

JESSICA DURHAM FNP (NPI 1306504972) is an individual family provider in Defiance, Ohio, licensed in Ohio (APRN.CNP.0030385) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Defiance Hospital, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1306504972
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA DURHAMCredential: FNP
Location Address1400 E 2ND STDefiance, OH 43512-9905
Mailing Address319 Brownell AveNapoleon, OH 43545-2128 · (419) 966-4645
Fax(419) 783-2799
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 1, 2021
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1306504972 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.0030385
1400 E 2ND ST, Defiance, OH 43512

Secondary Practice Location 1

Location 14126 N Holland Sylvania Rd Ste 220Toledo, OH 43623-3537 · Phone (419) 517-7665 · Fax (419) 517-7598

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

Jessica Durham Fnp 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 ID547651390
PECOS Enrollment IDI20220105001019
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 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.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43512 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.

78.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.78
Promoting Interoperability83
Improvement Activities40
Cost68.16

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 Anesthetist, Certified Registered
1400 E 2ND ST
DEFIANCE, OH 43512
Ophthalmology
1400 E 2ND ST
DEFIANCE, OH 43512
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1400 E 2ND ST
DEFIANCE, OH 43512
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Clinic/Center (Radiology, Mobile)
1400 E 2ND ST
DEFIANCE, OH 43512
Physician Assistant
1400 E 2ND ST
DEFIANCE, OH 43512
Occupational Therapist
1400 E 2ND ST
DEFIANCE, OH 43512
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512

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 Jessica Durham's NPI number?

The NPI number for Jessica Durham is 1306504972. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Jessica Durham located?

Jessica Durham practices at 1400 E 2nd St, Defiance, OH 43512. The listed phone number is (419) 783-3273.

What is Jessica Durham's specialty?

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

Is Jessica Durham enrolled in Medicare?

Yes. Jessica 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 Jessica Durham accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, McLaren Health Plan Community and MedMutual and 2 other insurers list Jessica 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 Jessica Durham affiliated with any hospitals?

According to CMS data, Jessica Durham is affiliated with Mercy Health - Defiance Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Durham was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.