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KARL M CUMMING
NPI 1275129199
Nurse Anesthetist, Certified Registered in American Fork, UT

Active since December 15, 2020Accepts Medicare Assignment
170 N 1100 E, AMERICAN FORK, UT 84003(210) 900-0084 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 1, 2024, Jun 15, 2021, Dec 15, 2020 (3 updates tracked since 2020).

About Karl M Cumming NPPES

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

KARL M CUMMING (NPI 1275129199) is an individual nurse anesthetist, certified registered in American Fork, Utah, licensed in Utah (8359171-4406) and active in the NPI registry since December 2020. He is affiliated with American Fork Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275129199
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKARL M CUMMING
Location Address170 N 1100 EAmerican Fork, UT 84003-2096
Mailing Address296 Cherry Hill DrPleasant Grove, UT 84062-2930 · (210) 900-0084
Phone(210) 900-0084
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 15, 2020
Last NPPES UpdateApril 1, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1275129199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in UT · 8359171-4406
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9496165 (FL)
170 N 1100 E, American Fork, UT 84003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Select Health.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

Karl M Cumming 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 ID6406264175
PECOS Enrollment IDI20210604001856

Hospital Affiliations CMS Care Compare 2

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460043
Location331 North 400 WestOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

MADELIENE ALEXANDRA PETERSON
Nurse Anesthetist, Certified Registered
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 855-3300
BRADLEY JAMES MIDDLETON AUDIOLOGIST
Audiologist
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 855-3372
NATHAN MICHAEL MABON CRNA
Nurse Anesthetist, Certified Registered
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 855-3300
KARLA L STANDAGE RN, IBCLC
Lactation Consultant, Non-RN
170 N 1100 E, LACTATION OFFICE
AMERICAN FORK, UT 84003
Utah County (801) 855-3638
JESSICA ANN FRAUGHTON FNP
Nurse Practitioner (Family)
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 855-3337
QUINTIN D WARNICK PT
Physical Therapist
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 763-3520
IHC HEALTH SERVICES INC
Radiology (Diagnostic Ultrasound)
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 442-1400
DR. MICHAEL BRYANT JOLLEY M.D.
Internal Medicine
170 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 357-8310

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 Karl Cumming's NPI number?

The NPI number for Karl Cumming is 1275129199. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Karl Cumming located?

Karl Cumming practices at 170 N 1100 E, American Fork, UT 84003. The listed phone number is (210) 900-0084.

What is Karl Cumming's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Karl Cumming enrolled in Medicare?

Yes. Karl Cumming 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 Karl Cumming accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Select Health list Karl Cumming 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 Karl Cumming affiliated with any hospitals?

According to CMS data, Karl Cumming is affiliated with American Fork Hospital and Orem Community Hospital.

When was this NPI record last updated?

The NPPES record for Karl Cumming was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.