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DOLORES DUNCAN PMHNP
NPI 1861042244
Nurse Practitioner - Psychiatric/Mental Health in Warren, OH

Active since September 17, 2019PECOS Enrolled
552 N PARK AVE, WARREN, OH 44481(234) 243-4127 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Apr 29, 2024, Sep 17, 2019 (3 updates tracked since 2019).

About Dolores Duncan Pmhnp NPPES

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

DOLORES DUNCAN PMHNP (NPI 1861042244) is an individual psychiatric/mental health provider in Warren, Ohio, licensed in Ohio (APRN.CNP.0036297) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861042244
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOLORES DUNCANCredential: PMHNP
Location Address552 N PARK AVEWarren, OH 44481-1117
Mailing Address1010 Euclid Ave Apt 710wCleveland, OH 44115-1517
Phone(234) 243-4127
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 17, 2019
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1861042244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0036297
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN.406169 (OH)
552 N PARK AVE, Warren, OH 44481
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12350 Briggs RdColumbus, OH 43223-3218 · Phone (614) 594-2141
Location 2465 Harmon AveColumbus, OH 43223 · Phone (614) 702-7467
Location 31010 Euclid Ave Apt 710WCleveland, OH 44115-1517 · Phone (419) 231-1552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dolores Duncan Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507304409
PECOS Enrollment IDI20250128000716
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 Reassignments

3

Medicare enrollment records show Dolores Duncan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spero Health Of Ohio, LLC
108 mi
Rehabilitation, Substance Use Disorder
833 JAMES ST
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1346748563 (740) 297-8859
Recovery Innovations, Inc
146 mi
Community/Behavioral Health
465 HARMON AVE
Columbus, OH 43223
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1679390520 (614) 222-3737
Southwestern Recovery Center, LLC
149 mi
Family Medicine
2350 BRIGGS RD
Columbus, OH 43223
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1295241933 (614) 594-2141

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44481 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 16

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

MISS JAMMIE DIANE PERRY
Peer Specialist
552 N PARK AVE
WARREN, OH 44481
Trumbull County (234) 243-3127
SARA TACKETT CCMA
Peer Specialist
552 N PARK AVE
WARREN, OH 44481
Trumbull County (234) 243-3127
MRS. ASHLEY NICOLE MORROW
Behavior Technician
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
QUIANA DODSON RMA
Peer Specialist
552 N PARK AVE
WARREN, OH 44481
Trumbull County (234) 243-3127
SARAH M. PRECURATO LPN
Licensed Practical Nurse
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
SONYA RASEY LPN
Licensed Practical Nurse
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
CARMELLA HILL PCC
Counselor (Professional)
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
CYNTHIA PAVLISH PCC
Counselor (Professional)
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831

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 Dolores Duncan's NPI number?

The NPI number for Dolores Duncan is 1861042244. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Dolores Duncan located?

Dolores Duncan practices at 552 N Park Ave, Warren, OH 44481. The listed phone number is (234) 243-4127.

What is Dolores Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dolores Duncan enrolled in Medicare?

Yes. Dolores Duncan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dolores Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolores Duncan reassigns Medicare benefits to 3 organizations: Spero Health Of Ohio, LLC (Zanesville, OH), Recovery Innovations, Inc (Columbus, OH) and Southwestern Recovery Center, LLC (Columbus, OH). Each 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 Dolores Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolores Duncan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Dolores 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.

When was this NPI record last updated?

The NPPES record for Dolores Duncan was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.