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STEPHANIE J CUMMINGS CNP
NPI 1285094664
Nurse Practitioner - Family in Georgetown, OH

Active since February 29, 2016PECOS EnrolledAccepts Medicare Assignment
2003 VETERANS BLVD, GEORGETOWN, OH 45121(937) 378-2900(937) 378-2951 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2019, Mar 3, 2016 (2 updates tracked since 2016).

About Stephanie J Cummings Cnp NPPES

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

STEPHANIE J CUMMINGS CNP (NPI 1285094664) is an individual family provider in Georgetown, Ohio, licensed in Ohio (COA.18703NP) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285094664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE J CUMMINGSCredential: CNP
Location Address2003 VETERANS BLVDGeorgetown, OH 45121-7408
Mailing Address2003 Veterans BlvdGeorgetown, OH 45121-7408 · (937) 378-2900 · Fax (937) 378-2951
Phone(937) 378-2900
Fax(937) 378-2951
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 29, 2016
Last NPPES UpdateOctober 2, 20192 updates tracked since enumeration
✔ NPI 1285094664 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 OH · COA.18703NP
2003 VETERANS BLVD, Georgetown, OH 45121
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Stephanie J Cummings Cnp 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 ID9739486739
PECOS Enrollment IDI20160317002175
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 Stephanie Cummings reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adams County Regional Medical Center
1.1 mi
Rural Health
4881 STATE ROUTE 125
Georgetown, OH 45121
  • Reassigned Medicare billing, Ohio enrollment
  • 42 clinicians in this Medicare group
NPI 1629628920 (937) 378-3075
Somc Medical Care Foundation, Inc.
50 mi
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 549 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117

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 45121 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 5

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

MRS. TERRI JEAN BASTIN MA CCC-SLP
Speech-Language Pathologist
2003 VETERANS BLVD
GEORGETOWN, OH 45121
Brown County (937) 378-2900
KRISTEN SOUDER PTA
Physical Therapy Assistant
2003 VETERANS BLVD
GEORGETOWN, OH 45121
Brown County (937) 515-0997
AIMEE DAWN ARKENAU OTR/L
Occupational Therapist
2003 VETERANS BLVD
GEORGETOWN, OH 45121
Brown County (937) 378-2900
CHELSEY DIKEMAN PT, DPT
Physical Therapist
2003 VETERANS BLVD
GEORGETOWN, OH 45121
Brown County (937) 378-2900
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Skilled Nursing Facility
2003 VETERANS BLVD
GEORGETOWN, OH 45121
Brown County (937) 378-2900

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 Stephanie Cummings's NPI number?

The NPI number for Stephanie Cummings is 1285094664. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Stephanie Cummings located?

Stephanie Cummings practices at 2003 Veterans Blvd, Georgetown, OH 45121. The listed phone number is (937) 378-2900.

What is Stephanie Cummings's specialty?

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

Is Stephanie Cummings enrolled in Medicare?

Yes. Stephanie Cummings 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 Stephanie Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Cummings reassigns Medicare benefits to 2 organizations: Adams County Regional Medical Center (Georgetown, OH) and Somc Medical Care Foundation, Inc. (Portsmouth, OH). 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 Stephanie Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Cummings accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Stephanie 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 Stephanie Cummings was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.