CERINA MARIE CUNNINGHAM NP
NPI 1255939484
Nurse Practitioner - Family in Bloomington, IN

Active since October 10, 2020PECOS EnrolledAccepts Medicare Assignment
524 N FAIRVIEW ST, BLOOMINGTON, IN 47404(812) 330-7837(812) 330-7837 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, May 6, 2024, May 24, 2021 and 1 more (4 updates tracked since 2020).

About Cerina Marie Cunningham Np NPPES

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

CERINA MARIE CUNNINGHAM NP (NPI 1255939484) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71011147A) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255939484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCERINA MARIE CUNNINGHAMCredential: NP
Location Address524 N FAIRVIEW STBloomington, IN 47404-3774
Mailing Address7901 State Highway 43Spencer, IN 47460-5804 · (765) 341-6914
Fax(812) 330-7837
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 10, 2020
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1255939484 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 IN · 71011147A
524 N FAIRVIEW ST, Bloomington, IN 47404

Secondary Practice Locations 2

Location 1550 S Landmark AveBloomington, IN 47403-3239 · Phone (812) 353-3333 · Fax (812) 323-8528
Location 2833 Indianapolis Rd Ste EGreencastle, IN 46135-1591 · Phone (765) 301-3680

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cerina Marie Cunningham Np 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 ID9739585613
PECOS Enrollment IDI20210831003398
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cerina Cunningham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
Infectious Disease
901 MCCLINTOCK DR, SUITE 202
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47404 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Family Medicine
524 N FAIRVIEW ST
BLOOMINGTON, IN 47404
Clinic/Center (Primary Care)
524 N FAIRVIEW ST
BLOOMINGTON, IN 47404
Nurse Practitioner (Family)
524 N FAIRVIEW ST
BLOOMINGTON, IN 47404
Family Medicine
524 N FAIRVIEW ST
BLOOMINGTON, IN 47404

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 Cerina Cunningham's NPI number?

The NPI number for Cerina Cunningham is 1255939484. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Where is Cerina Cunningham located?

Cerina Cunningham practices at 524 N Fairview St, Bloomington, IN 47404. The listed phone number is (812) 330-7837.

What is Cerina Cunningham's specialty?

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

Is Cerina Cunningham enrolled in Medicare?

Yes. Cerina 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.

Which organizations bill Medicare for Cerina Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cerina Cunningham reassigns Medicare benefits to 2 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and Metro Infectious Disease Consultants, LLC (Burr Ridge, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cerina Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cerina Cunningham accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare) and Cigna Healthcare list Cerina 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.

When was this NPI record last updated?

The NPPES record for Cerina Cunningham was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.