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TRISHA DURHAM RN, FNP-C
NPI 1891113247
Nurse Practitioner in New Lenox, IL

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
5.56/100
CMS Quality Rating
1890 SILVER CROSS, PAVILLION A SUITE 500, NEW LENOX, IL 60451(833) 465-7246 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Trisha Durham Rn, Fnp-c NPPES

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

TRISHA DURHAM RN, FNP-C (NPI 1891113247) is an individual nurse practitioner in New Lenox, Illinois, licensed in Illinois (209011492) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891113247
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRISHA DURHAMCredential: RN, FNP-C
Location Address1890 SILVER CROSS, PAVILLION A SUITE 500New Lenox, IL 60451
Mailing Address907 N Elm St Ste 101Hinsdale, IL 60521-3644 · (708) 482-4500
Phone(833) 465-7246
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2014
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1891113247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209011492
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041374812 (IL)
1890 SILVER CROSS, New Lenox, IL 60451
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trisha Durham Rn, Fnp-c 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 ID2466677489
PECOS Enrollment IDI20140708001420
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 Trisha Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chicago Spine And Joint, S.C.
19 mi
Interventional Pain Medicine
907 N ELM ST STE 101
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1164451308 (708) 482-4500

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

Areas of Expertise CMS Part B claims 10

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.
486 services192 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.
359 services215 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
228 services160 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
136 services25 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
100 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
94 services76 patients

Hospital Affiliations CMS Care Compare 3

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60451 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

5.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost18.54

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 Trisha Durham's NPI number?

The NPI number for Trisha Durham is 1891113247. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Trisha Durham located?

Trisha Durham practices at 1890 Silver Cross Pavillion A Suite 500, New Lenox, IL 60451. The listed phone number is (833) 465-7246.

What is Trisha Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Trisha Durham enrolled in Medicare?

Yes. Trisha 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.

Which organization bills Medicare for Trisha Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trisha Durham reassigns Medicare benefits to Chicago Spine And Joint, S.C. (Hinsdale, IL). 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 Trisha Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trisha Durham accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Trisha Durham 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 Trisha Durham affiliated with any hospitals?

According to CMS data, Trisha Durham is affiliated with Palos Community Hospital, Silver Cross Hospital And Medical Centers and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Trisha Durham was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.