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MRS. EMILY CHRISTINE DUNCAN APRN
NPI 1861857450
Nurse Practitioner - Family in Florence, KY

Active since December 23, 2015PECOS Enrolled
8747 US HIGHWAY 42 STE B, FLORENCE, KY 41042(859) 496-0093(800) 806-1481 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2025, May 24, 2021, May 4, 2021 and 2 more (5 updates tracked since 2015).

About Mrs. Emily Christine Duncan Aprn NPPES

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

MRS. EMILY CHRISTINE DUNCAN APRN (NPI 1861857450) is an individual family provider in Florence, Kentucky, licensed in Kentucky (3009915) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Erlanger.

NPPES Registry Identity

NPI1861857450
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. EMILY CHRISTINE DUNCANCredential: APRN
Location Address8747 US HIGHWAY 42 STE BFlorence, KY 41042-8533
Mailing Address8747 Us Highway 42 Ste BFlorence, KY 41042-8533 · (859) 496-0093 · Fax (180) 080-6148
Phone(859) 496-0093
Fax(800) 806-1481
Sole ProprietorNo
Enumeration DateDecember 23, 2015
Last NPPES UpdateJune 23, 20255 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1861857450 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 KY · 3009915
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3009915 (KY)
8747 US HIGHWAY 42 STE B, Florence, KY 41042
Open in Google Maps ↗

Secondary Practice Location 1

Location 13858 Jenny LnErlanger, KY 41018-3857 · Phone (859) 496-0093 · Fax (800) 806-1481

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Emily Christine Duncan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Emily Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc
6.3 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555

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 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
70%56 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%76 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%101 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
14%70 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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
2 suppliers15 claims15 services$185.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Emily Duncan's NPI number?

The NPI number for Emily Duncan is 1861857450. It was assigned to this individual provider in the NPPES registry on December 23, 2015.

Where is Emily Duncan located?

Emily Duncan practices at 8747 Us Highway 42 Ste B, Florence, KY 41042. The listed phone number is (859) 496-0093.

What is Emily Duncan's specialty?

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

Is Emily Duncan enrolled in Medicare?

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

Which organization bills Medicare for Emily Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Duncan reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). 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 Emily Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Duncan was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.