MRS. ANNETTE VAN DAM APRN
NPI 1376914192
Family Medicine - Adult Medicine in Columbus, OH

Q: What is Annette Van Dam's NPI number?

The NPI number for Annette Van Dam is 1376914192. It was assigned to this individual provider in the NPPES registry on October 20, 2015. The provider is also known as Annette David Aprn.

Q: What is Annette Van Dam's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Annette Van Dam was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 20, 2015PECOS Enrolled

21 E. STATE ST. OFFICE 233 COLUMBUS, OH 43215, OFFIXE 233, COLUMBUS, OH 43215(888) 731-8994(623) 999-1761 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 23, 2026, Apr 6, 2026, Sep 17, 2025 and 1 more (4 updates tracked since 2025).

On this page

About Mrs. Annette Van Dam Aprn NPPES

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

MRS. ANNETTE VAN DAM APRN (NPI 1376914192) is an individual adult medicine provider in Columbus, Ohio, licensed in Kentucky (3009783) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376914192

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameMRS. ANNETTE VAN DAMCredential: APRN

Location Address21 E. STATE ST. OFFICE 233 COLUMBUS, OH 43215, OFFIXE 233Columbus, OH 43215

Mailing Address796 Ninevah RdFrankfort, KY 40601-7960 · (888) 731-8994 · Fax (833) 755-1861

Phone(888) 731-8994

Fax(623) 999-1761

Sole ProprietorNo

Enumeration DateOctober 20, 2015

Last NPPES UpdateApril 23, 20264 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1376914192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in KY · 3009783

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedIntegrative MedicineTaxonomy 202D00000X · License 3009783 (KY)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 3009783 (KY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3009783 (KY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3009783 (KY)

21 E. STATE ST. OFFICE 233 COLUMBUS, OH 43215, Columbus, OH 43215

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Other Names 1

Former Name (1)Annette David Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Annette Van Dam Aprn 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 2

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.

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.

90 services44 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%270 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Annette Van Dam's NPI number?

The NPI number for Annette Van Dam is 1376914192. It was assigned to this individual provider in the NPPES registry on October 20, 2015. The provider is also known as Annette David Aprn.

Where is Annette Van Dam located?

Annette Van Dam practices at 21 E. State St. Office 233 Columbus, Oh 43215 Offixe 233, Columbus, OH 43215. The listed phone number is (888) 731-8994.

What is Annette Van Dam's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Annette Van Dam enrolled in Medicare?

Yes. Annette Van Dam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annette Van Dam was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.