THAD CUMMINGS FNP
NPI 1013604966
Nurse Practitioner - Family in Grand Haven, MI
About Thad Cummings Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THAD CUMMINGS FNP (NPI 1013604966) is an individual family provider in Grand Haven, Michigan, licensed in Michigan (4704367433) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Thad Cummings Fnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Thad Cummings reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muskegon, MI 49444
- Reassigned Medicare billing, Michigan enrollment
- 61 clinicians in this Medicare group
Muskegon, MI 49442
- Reassigned Medicare billing, Michigan enrollment
- 83 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49417 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Thad Cummings's NPI number?
The NPI number for Thad Cummings is 1013604966. It was assigned to this individual provider in the NPPES registry on April 20, 2023.
Where is Thad Cummings located?
Thad Cummings practices at North Ottawa Community Hospital 1309 Sheldon Rd, Grand Haven, MI 49417. The listed phone number is (616) 842-3600.
What is Thad Cummings's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Thad Cummings enrolled in Medicare?
Yes. Thad Cummings 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 Thad Cummings's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thad Cummings reassigns Medicare benefits to 4 organizations: Lake Michigan Observation Services PLLC (Muskegon, MI), Lake Michigan Emergency Specialists, PLLC (Muskegon, MI), Theoria Medical (Brighton, MI) and Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN). 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 Thad Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thad Cummings accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thad Cummings 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 Thad Cummings affiliated with any hospitals?
According to CMS data, Thad Cummings is affiliated with Lutheran Hospital Of Indiana.
When was this NPI record last updated?
The NPPES record for Thad Cummings was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Thad Cummings, FNP · NPI 1013604966
Family physician in Grand Haven, Michigan. Individual provider, active in the CMS NPPES registry since April 20, 2023.
## Identity
- **NPI:** 1013604966 (Entity type: Individual)
- **Enumerated:** April 20, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704367433 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** NORTH OTTAWA COMMUNITY HOSPITAL, 1309 SHELDON RD, Grand Haven, MI 49417
- **Phone:** (616) 842-3600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lake Michigan Observation Services PLLC (NPI 1518626043, Muskegon, MI); Lake Michigan Emergency Specialists, PLLC (NPI 1124574520, Muskegon, MI); Theoria Medical (NPI 1164186946, Brighton, MI); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013604966) · Data from the CMS NPPES public registry.