Andrea Durham, FNP
NPI 1295403160 · Family Nurse Practitioner · East Lansing, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Durham, FNP is a Family Nurse Practitioner provider in East Lansing, MI (NPI 1295403160).
Provider details
- NPI number
- 1295403160
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704280715 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
382 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $65 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 91 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 82 | $62 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 36 | $55 |
Typical Medicare-allowed amounts for these services range $13–$65 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 62 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 165 | 64 |
| Lisinopril | 125 | 50 |
| Gabapentin | 106 | 27 |
| Levothyroxine Sodium | 100 | 39 |
| Losartan Potassium | 92 | 35 |
| Amlodipine Besylate | 91 | 43 |
| Omeprazole |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Frequently asked questions
- What is Andrea Durham's NPI number?
- Andrea Durham's National Provider Identifier (NPI) is 1295403160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Durham's specialty?
- Andrea Durham is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrea Durham located?
- Andrea Durham's practice location on file with NPPES is 1675 Watertower Pl Ste 600, East Lansing, MI 48823-8044.
- What is Andrea Durham's phone number?
- The practice phone number listed in the NPPES registry for Andrea Durham is (517) 324-3445.
- Does Andrea Durham accept Medicare?
- Andrea Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Durham's NPI active?
- Yes — Andrea Durham's NPI (1295403160) is active in the NPPES registry as of the last update on 2023-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.