CYNTHIA A. SOMMER FNP
NPI 1285190678
Nurse Practitioner in New York, NY

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
165 BROADWAY FL 23, NEW YORK, NY 10006(888) 731-8994(817) 921-3708 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2026, Dec 7, 2025, Feb 11, 2019 (3 updates tracked since 2019).

About Cynthia A. Sommer Fnp NPPES

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

CYNTHIA A. SOMMER FNP (NPI 1285190678) is an individual nurse practitioner in New York, New York, licensed in Texas (AP140547) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285190678
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCYNTHIA A. SOMMERCredential: FNP
Location Address165 BROADWAY FL 23New York, NY 10006-1452
Mailing Address165 Broadway Fl 23New York, NY 10006-1452 · (888) 731-8994
Fax(817) 921-3708
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 11, 2019
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1285190678 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 TX · AP140547
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.
165 BROADWAY FL 23, New York, NY 10006

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 and accepts Medicare assignment

Cynthia A. Sommer Fnp 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 ID4486994787
PECOS Enrollment IDI20190325000742
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 4

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.

Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) 64445
This procedure involves injecting an anesthetic or steroid into the lower back and leg nerve to alleviate pain. The injection helps reduce inflammation and numb the area, providing relief from discomfort. This is a common treatment for conditions such as sciatica and herniated discs.
4,540 services109 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
4,540 services109 patients
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.
176 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10006 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Improvement Activities40

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.

Nurse Practitioner (Women's Health)
165 BROADWAY FL 23
NEW YORK, NY 10006
Family Medicine
165 BROADWAY FL 23
NEW YORK, NY 10006
Nurse Practitioner (Women's Health)
165 BROADWAY FL 23
NEW YORK, NY 10006
Nurse Practitioner
165 BROADWAY FL 23
NEW YORK, NY 10006
Nurse Practitioner (Family)
165 BROADWAY FL 23
NEW YORK, NY 10006
Nurse Practitioner (Family)
165 BROADWAY FL 23
NEW YORK, NY 10006
Clinical Medical Laboratory
165 BROADWAY FL 23
NEW YORK, NY 10006
Nurse Practitioner (Family)
165 BROADWAY FL 23
NEW YORK, NY 10006

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 Cynthia Sommer's NPI number?

The NPI number for Cynthia Sommer is 1285190678. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Cynthia Sommer located?

Cynthia Sommer practices at 165 Broadway Fl 23, New York, NY 10006. The listed phone number is (888) 731-8994.

What is Cynthia Sommer's specialty?

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

Is Cynthia Sommer enrolled in Medicare?

Yes. Cynthia Sommer 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 Cynthia Sommer accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Cynthia Sommer 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 Cynthia Sommer was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.