CHARLENE MICHELE DURHAM APRN
NPI 1326640830
Nurse Practitioner - Family in Louisville, KY

Active since November 10, 2020PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215(502) 367-3360 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2021, Nov 10, 2020 (2 updates tracked since 2020).

About Charlene Michele Durham Aprn NPPES

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

CHARLENE MICHELE DURHAM APRN (NPI 1326640830) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3014708) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326640830
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLENE MICHELE DURHAMCredential: APRN
Location Address1850 BLUEGRASS AVELouisville, KY 40215-1161
Mailing AddressPo Box 909Louisville, KY 40201-0909
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 10, 2020
Last NPPES UpdateJune 29, 20222 updates tracked since enumeration
NPPES CertifiedJune 29, 2022
NPI 1326640830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3014708
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3014708 (KY)
1850 BLUEGRASS AVE, Louisville, KY 40215

Other Names 1

Former Name (1)Charlene Michele Miller Aprn

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

Charlene Michele Durham Aprn 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 ID8325453426
PECOS Enrollment IDI20210223003073
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
77 services63 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services18 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Anesthesiology
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Radiology (Diagnostic Radiology)
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Internal Medicine
1850 BLUEGRASS AVE, HIPS DEPT
LOUISVILLE, KY 40215
Nurse Anesthetist, Certified Registered
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Psychiatry & Neurology (Psychiatry)
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Anesthesiology
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Anesthesiology
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Nurse Anesthetist, Certified Registered
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

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 Charlene Durham's NPI number?

The NPI number for Charlene Durham is 1326640830. It was assigned to this individual provider in the NPPES registry on November 10, 2020. The provider is also known as Charlene Michele Miller Aprn.

Where is Charlene Durham located?

Charlene Durham practices at 1850 Bluegrass Ave, Louisville, KY 40215. The listed phone number is (502) 367-3360.

What is Charlene Durham's specialty?

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

Is Charlene Durham enrolled in Medicare?

Yes. Charlene 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 Charlene Durham accept?

Health plans from CareSource list Charlene 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 Charlene Durham affiliated with any hospitals?

According to CMS data, Charlene Durham is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Charlene Durham was last updated on June 29, 2022. 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.