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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA J CUMMINS NP
NPI 1275196651
Nurse Practitioner - Gerontology in Detroit, MI

Active since April 21, 2019PECOS EnrolledAccepts Medicare Assignment
1 FORD PL, DETROIT, MI 48202(313) 874-6677(313) 874-0266 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Oct 1, 2026, Jun 2, 2025 and 4 more (7 updates tracked since 2019).

About Melissa J Cummins Np NPPES

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

MELISSA J CUMMINS NP (NPI 1275196651) is an individual gerontology provider in Detroit, Michigan, licensed in Michigan (4704271755) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275196651
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMELISSA J CUMMINSCredential: NP
Location Address1 FORD PLDetroit, MI 48202-3450
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(313) 874-6677
Fax(313) 874-0266
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 21, 2019
Last NPPES UpdateOctober 13, 20267 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1275196651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704271755
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4704271755 (MI)
1 FORD PL, Detroit, MI 48202
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa J Miller Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Melissa J Cummins 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 ID7012244643
PECOS Enrollment IDI20190806000324
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

6

Medicare enrollment records show Melissa Cummins reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
2.7 mi
Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group
NPI 1104900455 (313) 916-2600
Iha Health Services Corporation
14 mi
Family Medicine
28300 ORCHARD LAKE RD STE 103
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
NPI 1750138566 (248) 287-7860
Pure Psychiatry Of Michigan PLLC
16 mi
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
NPI 1831701671 (313) 292-7640
Complexcare Medical Group Midwest M PLLC
18 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220
Theoria Medical
18 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Behavioral Care Solutions For Adults And Seniors, Inc.
19 mi
Psychiatry
39465 W 14 MILE RD
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 74 clinicians in this Medicare group
NPI 1154727147 (248) 859-3900

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

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
410 services200 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
219 services218 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
45 services40 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

MARIANE LOECKNER LLP
Psychologist (Counseling)
1 FORD PL, STE 1 C
DETROIT, MI 48202
Wayne County (313) 876-7605
DR. PINO D. COLONE M.D.
Emergency Medicine
1 FORD PL
DETROIT, MI 48202
Wayne County (313) 916-2522
HENRY FORD BEHAVIORAL HEALTH- ONE FORD PLACE
Clinic/Center
1 FORD PL, SUITE 1 C
DETROIT, MI 48202
Wayne County (313) 874-8377
MRS. ALTHEA KIMBROUGH NP
Nurse Practitioner
1 FORD PL
DETROIT, MI 48202
Wayne County (313) 433-5443
BETHANY THAYER
Dietitian, Registered
1 FORD PL
DETROIT, MI 48202
Wayne County (248) 224-1113
MA'KHYA CULBREATH
Community Health Worker
1 FORD PL
DETROIT, MI 48202
Wayne County (313) 874-4118
BRENT FUNK PSY.D.
Psychologist (Clinical)
1 FORD PL, 1E
DETROIT, MI 48202
Wayne County (313) 874-6651
SYDNEY AUTUMN LIPSEY LMSW
Social Worker (Clinical)
1 FORD PL, SUITE I C
DETROIT, MI 48202
Wayne County (313) 874-6677

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 Melissa Cummins's NPI number?

The NPI number for Melissa Cummins is 1275196651. It was assigned to this individual provider in the NPPES registry on April 21, 2019. The provider is also known as Melissa J Miller Np.

Where is Melissa Cummins located?

Melissa Cummins practices at 1 Ford Pl, Detroit, MI 48202. The listed phone number is (313) 874-6677.

What is Melissa Cummins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Melissa Cummins enrolled in Medicare?

Yes. Melissa Cummins 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 Melissa Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Cummins reassigns Medicare benefits to 6 organizations: Henry Ford Health System (Detroit, MI), Iha Health Services Corporation (Farmington Hills, MI), Pure Psychiatry Of Michigan PLLC (Wayne, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI), Theoria Medical (Novi, MI) and 1 more organization, listed in the Medicare section above. 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 Melissa Cummins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Cummins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Melissa Cummins 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 Melissa Cummins affiliated with any hospitals?

According to CMS data, Melissa Cummins is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Cummins was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.