JENNIFER B. DURHAM NP
NPI 1457399206
Nurse Practitioner in Reston, VA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
11800 SUNRISE VALLEY DR STE 500, RESTON, VA 20191(703) 437-5977(703) 478-2475 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, Aug 27, 2021, Oct 28, 2020 and 2 more (5 updates tracked since 2016).

About Jennifer B. Durham Np NPPES

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

JENNIFER B. DURHAM NP (NPI 1457399206) is an individual nurse practitioner in Reston, Virginia, licensed in Virginia (0024119682) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1457399206
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER B. DURHAMCredential: NP
Location Address11800 SUNRISE VALLEY DR STE 500Reston, VA 20191-5303
Mailing Address2901 Telestar Ct., #300Falls Church, VA 22042-1261 · (703) 591-1688 · Fax (703) 591-1445
Fax(703) 478-2475
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 14, 20235 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1457399206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024119682
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11800 SUNRISE VALLEY DR STE 500, Reston, VA 20191

Other Identifiers 2

Medicaid1457399206VA
OtherP01300807DC · Railroad Medicare Pin

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

Jennifer B. Durham Np 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 ID9931279346
PECOS Enrollment IDI20080618000634
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
125 services122 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
86 services85 patients
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.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Cardiovascular Disease)
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Nurse Practitioner (Family)
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Physician Assistant
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Nurse Practitioner
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Internal Medicine (Cardiovascular Disease)
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Internal Medicine (Cardiovascular Disease)
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Internal Medicine (Cardiovascular Disease)
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191
Internal Medicine (Cardiovascular Disease)
11800 SUNRISE VALLEY DR STE 500
RESTON, VA 20191

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 Jennifer Durham's NPI number?

The NPI number for Jennifer Durham is 1457399206. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Jennifer Durham located?

Jennifer Durham practices at 11800 Sunrise Valley Dr Ste 500, Reston, VA 20191. The listed phone number is (703) 437-5977.

What is Jennifer Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Durham enrolled in Medicare?

Yes. Jennifer 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.

Is Jennifer Durham affiliated with any hospitals?

According to CMS data, Jennifer Durham is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Jennifer Durham was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.