Andrea Durham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704280715 Issued in MI

Practice address

1675 Watertower PL Ste 600
East Lansing, MI 48823-8044

Phone

(517) 324-3445

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adurham454902@direct.hfhs.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wa Foote Memorial Hospital, Inc

  • Nurse Practitioner
  • Jackson, MI
  • NPI 1629000708

  MI

  Medicare reassignment Care Compare group NPD
• Battle Creek Urgent Care Walk in Clinic PC

  • Urgent Care Clinic/Center
  • Battle Creek, MI
  • NPI 1700539251

  MI

  Medicare reassignment NPD
• Chelsea Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Chelsea, MI
  • NPI 1811568272

  MI

  Medicare reassignment NPD
• Main St Urgent Care Clinic and Walk in Clinic PC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1447825351

  MI

  Medicare reassignment NPD
• Plainwell Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Plainwell, MI
  • NPI 1356014567

  MI

  Medicare reassignment NPD
• Tecumseh Urgent Care and Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Tecumseh, MI
  • NPI 1245849298

  MI

  Medicare reassignment NPD
• W. a. Foote Memorial Hospital, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MI
  • NPI 1669569034
  Care Compare group
• W. a. Foote Memorial Hospital, Inc

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1760437826
  Care Compare group
• W. a. Foote Memorial Hospital, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MI
  • NPI 1326078866
  Care Compare group
• W.a. Foote Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MI
  • NPI 1053403402
  Care Compare group
• W.a. Foote Memorial Hospital

  • Home Health Agency
  • Jackson, MI
  • NPI 1962586123
  Care Compare group
• W.a. Foote Memorial Hospital

  • Psychiatric Hospital Unit
  • Jackson, MI
  • NPI 1962594317
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• W.a. Foote Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MI
  • NPI 1053403402

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W. a. Foote Memorial Hospital, Inc. 476 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1295403160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WATERTOWER PL STE 600",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238044",
            "telephone_number": "517-324-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ANDREA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704280715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dunahoo
• Erin Dunbar, MT-BC
• Nikia Duncan
• Sara Beth Dupuis, LP, LMFT
• Tara Lynn Durci, BS,SWT,CBIS
• Maya Durham
• Cathryn Gayle Durnin, PT
• Justin Lee Dusaj, DO
• Debra F Duxbury, M.D.
• Francesca Colecraft Dwamena, M.D.

• All providers in East Lansing, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.