JOSHUA CUMMINGS PA-C
NPI 1235851122
Physician Assistant in Muskegon, MI

Active since September 16, 2022PECOS EnrolledAccepts Medicare Assignment
1500 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 672-2000 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua Cummings Pa-c NPPES

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

JOSHUA CUMMINGS PA-C (NPI 1235851122) is an individual physician assistant in Muskegon, Michigan and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235851122
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSHUA CUMMINGSCredential: PA-C
Location Address1500 E SHERMAN BLVDMuskegon, MI 49444-1849
Mailing Address3300 Las Vegas Dr NeBelmont, MI 49306-9150 · (616) 560-6803
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
NPI 1235851122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 E SHERMAN BLVD, Muskegon, MI 49444

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

Joshua Cummings Pa-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 ID7911373774
PECOS Enrollment IDI20221019000630
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services37 patients
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.
29 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Hospitalist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Internal Medicine
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Student in an Organized Health Care Education/Training Program
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Emergency Medicine
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Hospitalist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444

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 Joshua Cummings's NPI number?

The NPI number for Joshua Cummings is 1235851122. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Joshua Cummings located?

Joshua Cummings practices at 1500 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (231) 672-2000.

What is Joshua Cummings's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joshua Cummings enrolled in Medicare?

Yes. Joshua 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 Joshua Cummings accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Joshua 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 Joshua Cummings affiliated with any hospitals?

According to CMS data, Joshua Cummings is affiliated with Trinity Health Muskegon Hospital and Trinity Health Grand Haven Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Cummings was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.