JENNIFER ROSE DURHAM APN
NPI 1629403563
Nurse Practitioner - Family in Camden On Gauley, WV

Q: What is Jennifer Durham's NPI number?

The NPI number for Jennifer Durham is 1629403563. It was assigned to this individual provider in the NPPES registry on September 11, 2013. The provider is also known as Jennifer Rose Gates.

Q: What is Jennifer Durham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Durham was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment

10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208(304) 226-5725(304) 226-3274 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Sep 15, 2016 (2 updates tracked since 2016).

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About Jennifer Rose Durham Apn NPPES

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

JENNIFER ROSE DURHAM APN (NPI 1629403563) is an individual family provider in Camden On Gauley, West Virginia, licensed in West Virginia (73253) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Summersville Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629403563

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER ROSE DURHAMCredential: APN

Location Address10003 WEBSTER RDCamden On Gauley, WV 26208-7713

Mailing Address10003 Webster RdCamden On Gauley, WV 26208-7713 · (304) 226-5725 · Fax (304) 226-3274

Phone(304) 226-5725

Fax(304) 226-3274

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 11, 2013

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1629403563 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 WV · 73253

10003 WEBSTER RD, Camden On Gauley, WV 26208

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Other Names 1

Former Name (1)Jennifer Rose Gates

Other Identifiers 2

OtherWV3488AWV · Medicare

Medicaid3810026528WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Rose Durham Apn 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 ID3678709292

PECOS Enrollment IDI20131203001918

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.

Hospital Affiliations CMS Care Compare

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

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511322

Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26208 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MRS. HEATHER DAWN GLASKO-TULLY MSN, APRN, NP-C, FNP

Nurse Practitioner (Family)