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JENNIFER DURHAM DNP-AGPCNP
NPI 1629776984
Nurse Practitioner - Gerontology in Danville, VA

Active since February 16, 2023PECOS EnrolledAccepts Medicare Assignment
158 EXECUTIVE DR, DANVILLE, VA 24541(434) 791-1088 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Jan 6, 2024, Feb 16, 2023 (3 updates tracked since 2023).

About Jennifer Durham Dnp-agpcnp NPPES

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

JENNIFER DURHAM DNP-AGPCNP (NPI 1629776984) is an individual gerontology provider in Danville, Virginia, licensed in Virginia (0024188273) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and maintains a secondary practice location in Pelham.

NPPES Registry Identity

NPI1629776984
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER DURHAMCredential: DNP-AGPCNP
Location Address158 EXECUTIVE DRDanville, VA 24541-4100
Mailing Address405 Thompson StEden, NC 27288-5045 · (336) 627-4896
Phone(434) 791-1088
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 16, 2023
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1629776984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024188273
Also ListedRegistered NurseTaxonomy 163W00000X · License 256042 (NC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0024188273 (VA)
158 EXECUTIVE DR, Danville, VA 24541
Open in Google Maps ↗

Secondary Practice Location 1

Location 1147 Elvin Durham RdPelham, NC 27311-8635 · Phone (434) 441-7211

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 Durham Dnp-agpcnp 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 ID3577092147
PECOS Enrollment IDI20250128000766
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 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

ALEXIS ARDUCA
Behavior Analyst
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 228-7603
KEYANA CLAIBORNE
Behavior Technician
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 228-7603
MRS. TRACEY LEE TONSOR PA-C, M.P.A.S.
Physician Assistant
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 791-1088
SHATEKA THOMAS
Behavior Technician
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 228-7603
BRITTANY MCBRIDE
Behavior Technician
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 228-7603
KEYARRA MANNS
Behavior Technician
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 228-7603
TRENITI MARSHALL
Behavior Technician
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 228-7603
DR. BRIAN WITTMUS ZAGOL MD
Internal Medicine (Interventional Cardiology)
158 EXECUTIVE DR
DANVILLE, VA 24541
Danville City (434) 791-1088

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 1629776984. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Jennifer Durham located?

Jennifer Durham practices at 158 Executive Dr, Danville, VA 24541. The listed phone number is (434) 791-1088.

What is Jennifer Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

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 Centra Health - Lynchburg Gen Hospital and Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Jennifer Durham was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.