MRS. SHELLY R CUMMINGS NP-C
NPI 1174922462
Nurse Practitioner - Family in Morgantown, WV

Q: What is Shelly Cummings's NPI number?

The NPI number for Shelly Cummings is 1174922462. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Q: What is Shelly Cummings's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelly Cummings was last updated on July 6, 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.

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

6000 MEMORIAL CHURCH DR, MORGANTOWN, WV 26501(304) 292-7316(304) 599-8917 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, Mar 16, 2021, Jul 11, 2018 (3 updates tracked since 2018).

On this page

About Mrs. Shelly R Cummings Np-c NPPES

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

MRS. SHELLY R CUMMINGS NP-C (NPI 1174922462) is an individual family provider in Morgantown, West Virginia, licensed in West Virginia (APRN70799-NP-C) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174922462

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHELLY R CUMMINGSCredential: NP-C

Location Address6000 MEMORIAL CHURCH DRMorgantown, WV 26501-1503

Mailing Address6000 Memorial Church DrMorgantown, WV 26501-1503 · (304) 292-7316 · Fax (304) 599-8917

Phone(304) 292-7316

Fax(304) 599-8917

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 22, 2014

Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration

NPPES CertifiedJuly 6, 2021

✔ NPI 1174922462 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 WV · APRN70799-NP-C

6000 MEMORIAL CHURCH DR, Morgantown, WV 26501

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Mon Health Medical Park Dr Ste 1201Morgantown, WV 26505-1143 · Phone (304) 599-9400 · Fax (304) 599-8917

Location 21300 Fort Pierpont Dr Ste 101Morgantown, WV 26508-1314 · Phone (304) 241-7150 · Fax (304) 599-8917

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Shelly R Cummings Np-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 ID5092037077

PECOS Enrollment IDI20141202000587

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

142 services127 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.

76 services70 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

33 services31 patients

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.

31 services24 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.

18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26501 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

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.

LAUREN R RUEHLE NP-C

Nurse Practitioner (Family)

6000 MEMORIAL CHURCH DR
MORGANTOWN, WV 26501

Monongalia County (304) 292-7316

MADELINE DEE RENNER FNP

Nurse Practitioner (Family)

6000 MEMORIAL CHURCH DR
MORGANTOWN, WV 26501

Monongalia County (304) 292-7316

JOHN MICHAEL HUBER FNP-BC

Nurse Practitioner (Family)

6000 MEMORIAL CHURCH DR
MORGANTOWN, WV 26501

Monongalia County (304) 292-7316

KELSIE FUBIO FNP-BC

Nurse Practitioner (Family)

6000 MEMORIAL CHURCH DR
MORGANTOWN, WV 26501

Monongalia County (304) 292-7316

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 Shelly Cummings's NPI number?

The NPI number for Shelly Cummings is 1174922462. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Shelly Cummings located?

Shelly Cummings practices at 6000 Memorial Church Dr, Morgantown, WV 26501. The listed phone number is (304) 292-7316.

What is Shelly Cummings's specialty?

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

Is Shelly Cummings enrolled in Medicare?

Yes. Shelly 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 Shelly Cummings accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Shelly 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 Shelly Cummings affiliated with any hospitals?

According to CMS data, Shelly Cummings is affiliated with Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Shelly Cummings was last updated on July 6, 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.