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MICHAEL DON SUMMERS CNP
NPI 1154991933
Nurse Practitioner - Family in New Burnside, IL

Active since June 25, 2021PECOS Enrolled
470 WASHINGTON LN, NEW BURNSIDE, IL 62967(618) 218-6302 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Don Summers Cnp NPPES

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

MICHAEL DON SUMMERS CNP (NPI 1154991933) is an individual family provider in New Burnside, Illinois, licensed in Illinois (209.023439) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154991933
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL DON SUMMERSCredential: CNP
Location Address470 WASHINGTON LNNew Burnside, IL 62967-1141
Mailing Address470 Washington LnNew Burnside, IL 62967-1141 · (618) 218-6302
Phone(618) 218-6302
Sole ProprietorNo
Enumeration DateJune 25, 2021
NPPES CertifiedApril 24, 2021
✔ NPI 1154991933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.023439
470 WASHINGTON LN, New Burnside, IL 62967
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Don Summers Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62967 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Michael Summers's NPI number?

The NPI number for Michael Summers is 1154991933. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Michael Summers located?

Michael Summers practices at 470 Washington Ln, New Burnside, IL 62967. The listed phone number is (618) 218-6302.

What is Michael Summers's specialty?

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

Is Michael Summers enrolled in Medicare?

Yes. Michael Summers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Summers was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.