1. Home
  2. Directory
  3. Ohio
  4. Chillicothe
  5. Nurse Practitioner
  6. NPI Profile

DANICA ANN MCDOWELL CNP
NPI 1396301982
Nurse Practitioner - Family in Chillicothe, OH

Active since May 20, 2019PECOS Enrolled
81.3/100
CMS Quality Rating
272 HOSPITAL RD, CHILLICOTHE, OH 45601(614) 597-4988 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2021, Nov 19, 2020, May 20, 2019 (3 updates tracked since 2019).

About Danica Ann Mcdowell Cnp NPPES

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

DANICA ANN MCDOWELL CNP (NPI 1396301982) is an individual family provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.025035) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1396301982
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANICA ANN MCDOWELLCredential: CNP
Location Address272 HOSPITAL RDChillicothe, OH 45601-9031
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 533-6497 · Fax (614) 533-1993
Phone(614) 597-4988
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1396301982 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 OH · APRN.CNP.025035
Also ListedNurse PractitionerTaxonomy 363L00000X · License F05190270 (OH)
272 HOSPITAL RD, Chillicothe, OH 45601
Open in Google Maps ↗

Secondary Practice Location 1

Location 14850 E Main St Ste 110Columbus, OH 43213-2197 · Phone (614) 788-0375 · Fax (614) 533-1993

Other Identifiers 1

Medicaid0357737OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danica Ann Mcdowell Cnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Danica Mcdowell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adena Medical Group LLC
Same address
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Ohiohealth Corporation
39 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808
At Your Door Visiting Healthcare Services, LLC
43 mi
Family
314 AGLER RD
Columbus, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 101 clinicians in this Medicare group
NPI 1750760849 (614) 284-4114

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 45601 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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

JACQUELINE GRAHAM M.D.
Anesthesiology
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7540
DR. CAITLIN HUFFMAN PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7641
TIGIST ATALAY PHARMD
Pharmacist
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7641
MR. ANDREW ALAN PARSLEY MSN, CRNA
Nurse Anesthetist, Certified Registered
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7500
COURTNEY DAWN DURHAM CNP
Nurse Practitioner (Family)
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7500
DR. LAURE OLUTOYOSI MD
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (214) 693-0243
KYLE ADAM HAZLETT DO
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7070
YOONJI LEE PHARMD
Pharmacist
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7641

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 Danica Mcdowell's NPI number?

The NPI number for Danica Mcdowell is 1396301982. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Danica Mcdowell located?

Danica Mcdowell practices at 272 Hospital Rd, Chillicothe, OH 45601. The listed phone number is (614) 597-4988.

What is Danica Mcdowell's specialty?

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

Is Danica Mcdowell enrolled in Medicare?

Yes. Danica Mcdowell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danica Mcdowell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danica Mcdowell reassigns Medicare benefits to 3 organizations: Adena Medical Group LLC (Chillicothe, OH), Ohiohealth Corporation (Columbus, OH) and At Your Door Visiting Healthcare Services, LLC (Columbus, OH). 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 Danica Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danica Mcdowell accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Danica Mcdowell 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 Danica Mcdowell was last updated on November 2, 2021. 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.