AMBER D DUNCAN APRN-FNPC
NPI 1770964819
Nurse Practitioner - Family in Cross Lanes, WV

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
5161 WASHINGTON ST W, CROSS LANES, WV 25313(304) 722-7600(304) 722-7610 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2019, Jul 5, 2019 (2 updates tracked since 2019).

About Amber D Duncan Aprn-fnpc NPPES

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

AMBER D DUNCAN APRN-FNPC (NPI 1770964819) is an individual family provider in Cross Lanes, West Virginia, licensed in West Virginia (APRN64131-NPC) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1770964819
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBER D DUNCANCredential: APRN-FNPC
Location Address5161 WASHINGTON ST WCross Lanes, WV 25313-1535
Mailing Address97 Great Teays Blvd, Ste 6Scott Depot, WV 25560-9815 · (304) 757-6999 · Fax (304) 201-5019
Fax(304) 722-7610
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration
NPI 1770964819 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 WV · APRN64131-NPC
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 64131 (WV)
5161 WASHINGTON ST W, Cross Lanes, WV 25313

Secondary Practice Locations 3

Location 112 Kanawha TerSaint Albans, WV 25177-2750 · Phone (304) 201-1130 · Fax (304) 201-1134
Location 297 Great Teays Blvd Ste 6Scott Depot, WV 25560-9816 · Phone (304) 757-6999 · Fax (304) 201-5019
Location 3515 Main StMadison, WV 25130-1417 · Phone (304) 369-0393 · Fax (304) 369-0371

Other Identifiers 1

Medicaid3810029555WV

Accepted 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

Amber D Duncan Aprn-fnpc 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 ID8325355688
PECOS Enrollment IDI20150918000546
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.
55 services47 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.
38 services27 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25313 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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims44 services$5.74 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$9.55 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.39 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds K0822
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$122.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
5161 WASHINGTON ST W
CROSS LANES, WV 25313
Clinic/Center (Federally Qualified Health Center (FQHC))
5161 WASHINGTON ST W
CROSS LANES, WV 25313
Clinic/Center (Urgent Care)
5161 WASHINGTON ST W
CROSS LANES, WV 25313

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 Amber Duncan's NPI number?

The NPI number for Amber Duncan is 1770964819. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Amber Duncan located?

Amber Duncan practices at 5161 Washington St W, Cross Lanes, WV 25313. The listed phone number is (304) 722-7600.

What is Amber Duncan's specialty?

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

Is Amber Duncan enrolled in Medicare?

Yes. Amber Duncan 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.

What insurance does Amber Duncan accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Amber Duncan 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.

Is Amber Duncan affiliated with any hospitals?

According to CMS data, Amber Duncan is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amber Duncan was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.