1. Home
  2. Directory
  3. New York
  4. New Hyde Park
  5. Nurse Practitioner
  6. NPI Profile

MRS. KERRY CUMMINGS FNP
NPI 1093981540
Nurse Practitioner - Family in New Hyde Park, NY

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
81.08/100
CMS Quality Rating
191 HERRICKS RD, NEW HYDE PARK, NY 11040(516) 742-2224(516) 742-7470 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kerry Cummings Fnp NPPES

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

MRS. KERRY CUMMINGS FNP (NPI 1093981540) is an individual family provider in New Hyde Park, New York, licensed in New York (333883) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093981540
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KERRY CUMMINGSCredential: FNP
Location Address191 HERRICKS RDNew Hyde Park, NY 11040-5236
Mailing Address900 Merchants Concourse Ste 216Westbury, NY 11590-5114 · (516) 226-8373
Phone(516) 742-2224
Fax(516) 742-7470
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 5, 2008
Last NPPES UpdateDecember 3, 2019
✔ NPI 1093981540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 333883
Also ListedNurse PractitionerTaxonomy 363L00000X · License 333883 (NY)
191 HERRICKS RD, New Hyde Park, NY 11040
Open in Google Maps ↗

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

Mrs. Kerry 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.

PECOS PAC ID1456581800
PECOS Enrollment IDI20140304000243
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 Kerry Cummings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Square Care Medical Group, LLP
10 mi
Obstetrics & Gynecology
40 CROSSWAYS PARK DR
Woodbury, NY 11797
  • Reassigned Medicare billing, New York enrollment
  • 80 clinicians in this Medicare group
NPI 1457392763 (516) 496-3900

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.

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
33 services33 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
32 services32 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.
21 services19 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
17 services17 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

81.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.01
Promoting Interoperability100
Improvement Activities40
Cost50.92

Reported Quality Measures

Breast Cancer Screening
92%204 patients4/55-star benchmark: 93%
Cervical Cancer Screening
100%918 patients5/55-star benchmark: 98%
e-Prescribing
100%579 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%990 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%1,291 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 930 patients
0%930 patients
Provide Patients Electronic Access to Their Health Information
98%430 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MRS. LAURA JEAN CERLINI WHNP
Nurse Practitioner (Women's Health)
191 HERRICKS RD
NEW HYDE PARK, NY 11040
Nassau County (516) 742-2224
DR. RONALD ESPINOZA, D.O., P.C.
Surgery (Plastic and Reconstructive Surgery)
191 HERRICKS RD
NEW HYDE PARK, NY 11040
Nassau County (516) 350-0911
DR. JENNIFER T HANAUER MD
Obstetrics & Gynecology
191 HERRICKS RD
NEW HYDE PARK, NY 11040
Nassau County (516) 742-9642
MRS. DANIELA G BARRO RPAC
Physician Assistant (Medical)
191 HERRICKS RD
NEW HYDE PARK, NY 11040
Nassau County (516) 742-2224

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 Kerry Cummings's NPI number?

The NPI number for Kerry Cummings is 1093981540. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Kerry Cummings located?

Kerry Cummings practices at 191 Herricks Rd, New Hyde Park, NY 11040. The listed phone number is (516) 742-2224.

What is Kerry Cummings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kerry Cummings enrolled in Medicare?

Yes. Kerry 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 organization bills Medicare for Kerry Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Cummings reassigns Medicare benefits to Square Care Medical Group, LLP (Woodbury, NY). 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 Kerry Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerry Cummings was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.