CAROLYN A CUNNINGHAM ARNP
NPI 1235155763
Nurse Practitioner - Adult Health in Louisville, KY

Q: What is Carolyn Cunningham's NPI number?

The NPI number for Carolyn Cunningham is 1235155763. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Carolyn Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202(502) 587-8000(502) 583-8001 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carolyn A Cunningham Arnp NPPES

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

CAROLYN A CUNNINGHAM ARNP (NPI 1235155763) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3000610) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1235155763

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCAROLYN A CUNNINGHAMCredential: ARNP

Location Address100 W MARKET ST, SUITE 2Louisville, KY 40202-1332

Mailing Address100 W Market St, Suite 2Louisville, KY 40202-1332 · (502) 587-8000 · Fax (502) 583-8001

Phone(502) 587-8000

Fax(502) 583-8001

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateJuly 15, 2006

Last NPPES UpdateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1235155763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in KY · 3000610

100 W MARKET ST, Louisville, KY 40202

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Other Identifiers 3

Other000000052084KY · Anthem

Medicaid200204010IN

Medicaid78006103KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Carolyn A Cunningham Arnp 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 ID8628104858

PECOS Enrollment IDI20100326000970

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 6

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.

23 services21 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.

22 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services17 patients

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

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

14 services11 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

11 suppliers45 claims45 services$31.69 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers27 claims53 services$1.32 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers16 claims16 services$9.42 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

13 suppliers46 claims46 services$69.79 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

13 suppliers43 claims118 services$26.62 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers25 claims150 services$15.11 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers35 claims201 services$12.43 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

10 suppliers65 claims65 services$43.04 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers46 claims46 services$14.70 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

11 suppliers50 claims50 services$9.36 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

18 suppliers101 claims586 services$1.60 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

12 suppliers37 claims37 services$4.88 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

13 suppliers46 claims46 services$11.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers40 claims40 services$14.93 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers45 claims45 services$3.65 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers34 claims34 services$20.34 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

14 suppliers208 claims210 services$62.37 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers35 claims35 services$27.65 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

3 suppliers16 claims930 services$4.28 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

8 suppliers53 claims3,600 services$6.52 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

9 suppliers24 claims5,915 services$0.04 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

12 suppliers79 claims5,940 services$0.82 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

5 suppliers26 claims136,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers79 claims79 services$26.07 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 18

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

DR. JUDAH L SKOLNICK M.D.

Internal Medicine (Pulmonary Disease)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

DR. ZAKA URREHMAN KHAN MD

Internal Medicine (Pulmonary Disease)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

SONIA VISHIN COMPTON MD

Internal Medicine (Pulmonary Disease)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

CHRISTOPHER BARBER M.D.

Internal Medicine (Pulmonary Disease)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

MICHAEL ALLEN PETERS APRN

Nurse Practitioner (Acute Care)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

MARTHA E ROYCE ARNP

Nurse Practitioner

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

MUHAMMAD YASIN MD

Internal Medicine (Pulmonary Disease)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

DR. MARY LYNELL CHAMBERLAIN M.D.

Internal Medicine (Pulmonary Disease)

100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

Jefferson County (502) 587-8000

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 Carolyn Cunningham's NPI number?

The NPI number for Carolyn Cunningham is 1235155763. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Carolyn Cunningham located?

Carolyn Cunningham practices at 100 W Market St Suite 2, Louisville, KY 40202. The listed phone number is (502) 587-8000.

What is Carolyn Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carolyn Cunningham enrolled in Medicare?

Yes. Carolyn Cunningham 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 Carolyn Cunningham accept?

Health plans from CareSource list Carolyn Cunningham 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 Carolyn Cunningham affiliated with any hospitals?

According to CMS data, Carolyn Cunningham is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Carolyn Cunningham was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.