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AMY KAY DURHAM FNP-C
NPI 1518634690
Nurse Practitioner - Family in Chino Valley, AZ

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment
474 N HIGHWAY 89, CHINO VALLEY, AZ 86323(928) 636-5680(928) 636-5853 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2025, Aug 25, 2021 (2 updates tracked since 2021).

About Amy Kay Durham Fnp-c NPPES

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

AMY KAY DURHAM FNP-C (NPI 1518634690) is an individual family provider in Chino Valley, Arizona, licensed in Arizona (262376) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1518634690
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY KAY DURHAMCredential: FNP-C
Location Address474 N HIGHWAY 89Chino Valley, AZ 86323-5993
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358
Phone(928) 636-5680
Fax(928) 636-5853
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1518634690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 262376
474 N HIGHWAY 89, Chino Valley, AZ 86323
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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

Amy Kay Durham Fnp-c 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 ID8325439896
PECOS Enrollment IDI20211217001253
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 Reassignment

Medicare enrollment records show Amy Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yavapai Regional Medical Center Physician Care LLC
11 mi
Cardiovascular Disease
3120 CLEARWATER DR
Prescott, AZ 86305
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group
NPI 1255582003 (928) 771-2400

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

Areas of Expertise CMS Part B claims 11

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.
322 services207 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.
290 services209 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
157 services157 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services62 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
35 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86323 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

DIANNE A TOBIN FNP-C
Nurse Practitioner (Family)
474 N HIGHWAY 89
CHINO VALLEY, AZ 86323
Yavapai County (928) 636-4355
BELINDA T DRAKE NP
Nurse Practitioner (Family)
474 N HIGHWAY 89
CHINO VALLEY, AZ 86323
Yavapai County (928) 636-5680
PETE BANCHUIN MD
Family Medicine
474 N HIGHWAY 89
CHINO VALLEY, AZ 86323
Yavapai County (928) 636-5680

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 Amy Durham's NPI number?

The NPI number for Amy Durham is 1518634690. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Amy Durham located?

Amy Durham practices at 474 N Highway 89, Chino Valley, AZ 86323. The listed phone number is (928) 636-5680.

What is Amy Durham's specialty?

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

Is Amy Durham enrolled in Medicare?

Yes. Amy 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.

Which organization bills Medicare for Amy Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Durham reassigns Medicare benefits to Yavapai Regional Medical Center Physician Care LLC (Prescott, AZ). The 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 Amy Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Durham accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Durham was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.