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JAMES ISAAC DOWNS APRN
NPI 1356197651
Nurse Practitioner - Family in Hanover, PA

Active since April 26, 2024PECOS EnrolledAccepts Medicare Assignment
250 FAME AVE STE 206A, HANOVER, PA 17331(717) 316-2248(717) 316-7712 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Isaac Downs Aprn NPPES

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

JAMES ISAAC DOWNS APRN (NPI 1356197651) is an individual family provider in Hanover, Pennsylvania, licensed in Pennsylvania (SP035117) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356197651
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES ISAAC DOWNSCredential: APRN
Location Address250 FAME AVE STE 206AHanover, PA 17331-1576
Mailing Address250 Fame Ave Ste 206aHanover, PA 17331-1576 · (717) 316-2248 · Fax (717) 316-7712
Phone(717) 316-2248
Fax(717) 316-7712
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2024
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1356197651 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
Licenses✔ Licensed in PA · SP035117✔ Licensed in OH · APRN.CNP.0036332
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP035117 (PA)
250 FAME AVE STE 206A, Hanover, PA 17331
Open in Google Maps ↗

Secondary Practice Location 1

Location 1457 Shady Spring DrColumbus, OH 43230-4388 · Phone (410) 999-4224

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Isaac Downs 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 ID5890221980
PECOS Enrollment IDI20260313001453
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.

Medicare Billing Reassignments

4

Medicare enrollment records show James Downs reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Medical Services
Same address
Pulmonary Disease
250 FAME AVE STE 202
Hanover, PA 17331
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1235617317 (717) 632-9263
At Your Door Visiting Healthcare Services, LLC
315 mi
Family
314 AGLER RD
Columbus, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 101 clinicians in this Medicare group
NPI 1750760849 (614) 284-4114
Ayd - Value Based Services LLC
325 mi
Family
2245 N BANK DR
Columbus, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group
NPI 1669363362 (614) 284-4114
Signify Health, LLC
1,203 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 7

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

HANOVER PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (410) 756-0859
DR. LUCIENE D BOROWIK MD
Internal Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (717) 316-2248
ALISON RAE MCMASTER D.O.
Family Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (717) 316-2248
PINNACLE HEALTH MEDICAL SERVICES
Internal Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (717) 316-2248
DR. MOHAMMAD M. BARI M.D.
Internal Medicine (Infectious Disease)
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (717) 316-2248
MS. MOUSHUMI KUNDU MD
Internal Medicine (Geriatric Medicine)
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (717) 316-2248
PINNACLE HEALTH MEDICAL SERVICES
Internal Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
York County (717) 646-7385

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 James Downs's NPI number?

The NPI number for James Downs is 1356197651. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is James Downs located?

James Downs practices at 250 Fame Ave Ste 206A, Hanover, PA 17331. The listed phone number is (717) 316-2248.

What is James Downs's specialty?

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

Is James Downs enrolled in Medicare?

Yes. James Downs 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.

Which organizations bill Medicare for James Downs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Downs reassigns Medicare benefits to 4 organizations: Pinnacle Health Medical Services (Hanover, PA), At Your Door Visiting Healthcare Services, LLC (Columbus, OH), Ayd - Value Based Services LLC (Columbus, OH) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Downs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Downs accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list James Downs 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.

When was this NPI record last updated?

The NPPES record for James Downs was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.