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MRS. KIMBERLY KRISTIN CUMMINGS FNP-C
NPI 1104472208
Nurse Practitioner - Family in Roanoke, AL

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
1950 MAIN ST, ROANOKE, AL 36274(334) 863-2311 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2019, Aug 14, 2019 (2 updates tracked since 2019).

About Mrs. Kimberly Kristin Cummings Fnp-c NPPES

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

MRS. KIMBERLY KRISTIN CUMMINGS FNP-C (NPI 1104472208) is an individual family provider in Roanoke, Alabama, licensed in Alabama (1-149155) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104472208
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY KRISTIN CUMMINGSCredential: FNP-C
Location Address1950 MAIN STRoanoke, AL 36274-2512
Mailing AddressPo Box 2345Anniston, AL 36202-2345 · (334) 863-1249
Phone(334) 863-2311
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2019
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1104472208 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 AL · 1-149155
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1-149155 (AL)
1950 MAIN ST, Roanoke, AL 36274
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Kristin Cummings Fnp-c 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 ID42642100
PECOS Enrollment IDI20191112002053
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.

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.

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.
37 services22 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services15 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36274 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%93 patients
Breast Cancer Screening
23%339 patients2/55-star benchmark: 93%
Cervical Cancer Screening
8%553 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
34%288 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
30%678 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
54%457 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
24%178 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%178 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,709 patients4/55-star benchmark: 100%
e-Prescribing
100%2,606 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
33%365 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%1,388 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
10%1,219 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%1,774 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 925 patients
Patients screened: 99% · 925 patients
31%251 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
35%729 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%267 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 388 patients
Patients totalRate: 28% · 389 patients
26%389 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$19.77 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 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
1 supplier27 claims27 services$110.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$4.19 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims68,250 services$0.15 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

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

SAMANTHA BAGGETT
Nurse Practitioner (Family)
1950 MAIN ST
ROANOKE, AL 36274
Randolph County (334) 863-2311

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 Kimberly Cummings's NPI number?

The NPI number for Kimberly Cummings is 1104472208. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Kimberly Cummings located?

Kimberly Cummings practices at 1950 Main St, Roanoke, AL 36274. The listed phone number is (334) 863-2311.

What is Kimberly Cummings's specialty?

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

Is Kimberly Cummings enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Cummings accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Kimberly 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.

When was this NPI record last updated?

The NPPES record for Kimberly Cummings was last updated on September 30, 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.