COLEEN A. CUMMINGS N.P.
NPI 1265567101
Nurse Practitioner in Bridgewater, MA

Active since February 22, 2007PECOS Enrolled
89.43/100
CMS Quality Rating
545 BEDFORD ST, BRIDGEWATER, MA 02324(508) 697-3677(508) 894-0412 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coleen A. Cummings N.p. NPPES

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

COLEEN A. CUMMINGS N.P. (NPI 1265567101) is an individual nurse practitioner in Bridgewater, Massachusetts, licensed in Massachusetts (124413) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265567101
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOLEEN A. CUMMINGSCredential: N.P.
Location Address545 BEDFORD STBridgewater, MA 02324-3117
Mailing Address545 Bedford StBridgewater, MA 02324-3117 · (508) 697-3677 · Fax (508) 894-0412
Fax(508) 894-0412
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1265567101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 124413
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

545 BEDFORD ST, Bridgewater, MA 02324

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 (PECOS)

Coleen A. Cummings N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
365 services271 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services168 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.
130 services117 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services47 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.
30 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02324 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.41
Promoting Interoperability100
Improvement Activities40
Cost72.68

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
545 BEDFORD ST
BRIDGEWATER, MA 02324
Family Medicine
545 BEDFORD ST
BRIDGEWATER, MA 02324
Family Medicine
545 BEDFORD ST
BRIDGEWATER, MA 02324
Internal Medicine
545 BEDFORD ST
BRIDGEWATER, MA 02324
Internal Medicine
545 BEDFORD ST
BRIDGEWATER, MA 02324
Nurse Practitioner (Adult Health)
545 BEDFORD ST
BRIDGEWATER, MA 02324
Internal Medicine
545 BEDFORD ST
BRIDGEWATER, MA 02324

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 Coleen Cummings's NPI number?

The NPI number for Coleen Cummings is 1265567101. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Coleen Cummings located?

Coleen Cummings practices at 545 Bedford St, Bridgewater, MA 02324. The listed phone number is (508) 697-3677.

What is Coleen Cummings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Coleen Cummings enrolled in Medicare?

Yes. Coleen Cummings is registered in the Medicare PECOS enrollment system.

What insurance does Coleen Cummings accept?

Health plans from Anthem Blue Cross and Blue Shield list Coleen 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.

When was this NPI record last updated?

The NPPES record for Coleen Cummings was last updated on October 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.