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MR. PAUL ALAN ADKINS JR. APRN-CNP
NPI 1972810802
Nurse Practitioner in Wheelersburg, OH

Active since September 14, 2010PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
8991 OHIO RIVER RD, WHEELERSBURG, OH 45694(740) 716-7086(740) 529-2122 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2026, Nov 12, 2025, Mar 21, 2025 and 2 more (5 updates tracked since 2021).

About Mr. Paul Alan Adkins Jr. Aprn-cnp NPPES

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

MR. PAUL ALAN ADKINS JR. APRN-CNP (NPI 1972810802) is an individual nurse practitioner in Wheelersburg, Ohio, licensed in Ohio (APRN.CNP.11822) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972810802
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. PAUL ALAN ADKINS JR.Credential: APRN-CNP
Location Address8991 OHIO RIVER RDWheelersburg, OH 45694-1923
Mailing AddressPo Box 327Huntington, WV 25708-0327 · (304) 429-1088 · Fax (304) 429-3109
Phone(740) 716-7086
Fax(740) 529-2122
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 14, 2010
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1972810802 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 OH · APRN.CNP.11822
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.11822 (OH)
8991 OHIO RIVER RD, Wheelersburg, OH 45694
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-7677 · Fax (614) 293-5614
Location 2902 Gallia StPortsmouth, OH 45662-4139 · Phone (740) 675-0237 · Fax (740) 529-2126
Location 3272 Hospital Rd Ste 125Chillicothe, OH 45601-9031 · Phone (740) 779-4570

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Mr. Paul Alan Adkins Jr. Aprn-cnp 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 ID5294929113
PECOS Enrollment IDI20101104000230
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 Paul Adkins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ovp Health Care Inc
Same address
Federally Qualified Health Center (FQHC)
8991 OHIO RIVER RD
Wheelersburg, OH 45694
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group
NPI 1710501341 (304) 429-1088
Adena Medical Group LLC
47 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Osu Internal Medicine, LLC
89 mi
Internal Medicine
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 1,230 clinicians in this Medicare group
NPI 1740231448 (614) 293-8000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
76 services60 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 services36 patients
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.
31 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361334
Location100 Dawn LaneWaverly, OH 45690 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45694 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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
11 suppliers42 claims84 services$5.42 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$19.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$54.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers47 claims47 services$107.59 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 13

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

KAYLA M TACKETT NP-C
Nurse Practitioner
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086
OVP HEALTH CARE INC
Family Medicine
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086
DANNY SMALLEY CDCA
Counselor (Addiction (Substance Use Disorder))
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086
RACHEL RENEE BUTCHER APRN, CNP
Nurse Practitioner (Family)
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086
KAYLA RENEE STAPLETON
Social Worker (Clinical)
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086
BELLEFONTE PHYSICIAN SERVICES, INC.
Nurse Practitioner (Family)
8991 OHIO RIVER RD, STE. 2
WHEELERSBURG, OH 45694
Scioto County (740) 981-3356
ZACHARY DUANE UNDERWOOD DO
Family Medicine
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086
ELIZABETH LEE JOHNSON APRN, FNP
Nurse Practitioner (Family)
8991 OHIO RIVER RD
WHEELERSBURG, OH 45694
Scioto County (740) 716-7086

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 Paul Adkins's NPI number?

The NPI number for Paul Adkins is 1972810802. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Paul Adkins located?

Paul Adkins practices at 8991 Ohio River Rd, Wheelersburg, OH 45694. The listed phone number is (740) 716-7086.

What is Paul Adkins's specialty?

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

Is Paul Adkins enrolled in Medicare?

Yes. Paul Adkins 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 organizations bill Medicare for Paul Adkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Adkins reassigns Medicare benefits to 3 organizations: Ovp Health Care Inc (Wheelersburg, OH), Adena Medical Group LLC (Chillicothe, OH) and Osu Internal Medicine, 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 Paul Adkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Adkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Paul Adkins 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 Paul Adkins affiliated with any hospitals?

According to CMS data, Paul Adkins is affiliated with Southern Ohio Medical Center, Ohio State University State Health System, Adena Regional Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Adkins was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.