KIMBERLY CUSHMAN
NPI 1194356055
Physician Assistant - Medical in New Hudson, MI

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
30488 MILFORD RD, NEW HUDSON, MI 48165(484) 374-6252(248) 437-4665 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2021, Jan 30, 2020 (2 updates tracked since 2020).

About Kimberly Cushman NPPES

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

KIMBERLY CUSHMAN (NPI 1194356055) is an individual medical provider in New Hudson, Michigan and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194356055
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY CUSHMAN
Location Address30488 MILFORD RDNew Hudson, MI 48165-8583
Mailing Address1034 W Ann Arbor TrlPlymouth, MI 48170-1502 · (734) 667-5152 · Fax (734) 667-2579
Fax(248) 437-4665
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 30, 2020
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1194356055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
30488 MILFORD RD, New Hudson, MI 48165

Secondary Practice Locations 2

Location 122990 Pontiac TrlSouth Lyon, MI 48178-1641 · Phone (248) 667-9202
Location 229531 Plymouth RdLivonia, MI 48150-2125 · Phone (734) 525-7939

Accepted 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

Kimberly Cushman 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 ID8426454638
PECOS Enrollment IDI20210913002292
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.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Urgent Care)
30488 MILFORD RD
NEW HUDSON, MI 48165
Physician Assistant
30488 MILFORD RD
NEW HUDSON, MI 48165
Physician Assistant
30488 MILFORD RD
NEW HUDSON, MI 48165
Family Medicine
30488 MILFORD RD
NEW HUDSON, MI 48165
Physician Assistant
30488 MILFORD RD
NEW HUDSON, MI 48165
Physician Assistant (Medical)
30488 MILFORD RD
NEW HUDSON, MI 48165
Physician Assistant
30488 MILFORD RD
NEW HUDSON, MI 48165
Clinic/Center (Urgent Care)
30488 MILFORD RD
NEW HUDSON, MI 48165

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 Cushman's NPI number?

The NPI number for Kimberly Cushman is 1194356055. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Kimberly Cushman located?

Kimberly Cushman practices at 30488 Milford Rd, New Hudson, MI 48165. The listed phone number is (484) 374-6252.

What is Kimberly Cushman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimberly Cushman enrolled in Medicare?

Yes. Kimberly Cushman 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 Cushman accept?

Health plans from Blue Care Network of Michigan, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Kimberly Cushman 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 Cushman was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.