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JASON L CUNNINGHAM
NPI 1285004085
Nurse Practitioner in Columbia, TN

Active since October 06, 2015PECOS EnrolledAccepts Medicare Assignment
76.78/100
CMS Quality Rating
1222 TROTWOOD AVE, SUITE 101, COLUMBIA, TN 38401(931) 490-7348(931) 490-7349 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason L Cunningham NPPES

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

JASON L CUNNINGHAM (NPI 1285004085) is an individual nurse practitioner in Columbia, Tennessee, licensed in Tennessee (20553) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Roundup Memorial Healthcare, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285004085
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJASON L CUNNINGHAM
Location Address1222 TROTWOOD AVE, SUITE 101Columbia, TN 38401-6436
Mailing Address854 W James Campbell Blvd, Sutie 303Columbia, TN 38401-4659 · (931) 490-7348 · Fax (931) 490-7349
Phone(931) 490-7348
Fax(931) 490-7349
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 6, 2015
✔ NPI 1285004085 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 TN · 20553
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.

1222 TROTWOOD AVE, Columbia, TN 38401
Open in Google Maps ↗

Other Identifiers 2

Medicaid3710089TN
Medicare PIN3710089

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Jason L Cunningham 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 ID1759681950
PECOS Enrollment IDI20151119001372, I20250509002258, I20250702001092
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 9

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
300 services145 patients
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.
82 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services43 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
20 services20 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
19 services19 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Roundup Memorial Healthcare

Critical Access Hospitals · Roundup, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271346
Location1202 3rd St WRoundup, MT 59072 · Musselshell County
Emergency services

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp County
Emergency services

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

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.

COLUMBIA PEDIATRIC CLINIC, INC.
Clinic/Center (Primary Care)
1222 TROTWOOD AVE, STE 101
COLUMBIA, TN 38401
Maury County (931) 388-8965
MID-SOUTH SURGEONS, PLLC
Specialist
1222 TROTWOOD AVE, SUITE 211
COLUMBIA, TN 38401
Maury County (931) 380-3033
MRS. JANITA WOLFE OAKES L. C. S. W.
Social Worker (Clinical)
1222 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-8840
JOHN F WORTHMAN MD
Specialist
1222 TROTWOOD AVE, SUITE 603
COLUMBIA, TN 38401
Maury County (931) 381-3872
DR. JOHN P BROWN M.D.
Surgery
1222 TROTWOOD AVE, SUITE 603
COLUMBIA, TN 38401
Maury County (931) 381-9338
JOHN SPENCER JENSEN M.D.
Internal Medicine (Pulmonary Disease)
1222 TROTWOOD AVE, SUITE 503
COLUMBIA, TN 38401
Maury County (931) 490-7775
COLUMBIA ONCOLOGY
Specialist
1222 TROTWOOD AVE, SUITE 603
COLUMBIA, TN 38401
Maury County (931) 381-3872
DR. CLAUDIA SAINZ ANDREWS MD
Pediatrics
1222 TROTWOOD AVE, SUITE 101
COLUMBIA, TN 38401
Maury County (931) 388-8965

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 Jason Cunningham's NPI number?

The NPI number for Jason Cunningham is 1285004085. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Jason Cunningham located?

Jason Cunningham practices at 1222 Trotwood Ave Suite 101, Columbia, TN 38401. The listed phone number is (931) 490-7348.

What is Jason Cunningham's specialty?

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

Is Jason Cunningham enrolled in Medicare?

Yes. Jason 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.

What insurance does Jason Cunningham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 8 other insurers list Jason 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.

Is Jason Cunningham affiliated with any hospitals?

According to CMS data, Jason Cunningham is affiliated with Roundup Memorial Healthcare, Winner Regional Healthcare Center - Cah and Maury Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jason Cunningham was last updated on October 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.