BROOKE ELISE CUMMINS RN, APRN, FNP-BC
NPI 1285376855
Nurse Practitioner - Family in Lawrenceville, GA

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: January 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Apr 12, 2022 (2 updates tracked since 2022).

About Brooke Elise Cummins Rn, Aprn, Fnp-bc NPPES

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

BROOKE ELISE CUMMINS RN, APRN, FNP-BC (NPI 1285376855) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN270159) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285376855
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE ELISE CUMMINSCredential: RN, APRN, FNP-BC
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address857 Preserve CtBethlehem, GA 30620-2565 · (404) 242-9247
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2022
Last NPPES UpdateJanuary 21, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2024
NPI 1285376855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN270159
Also ListedRegistered NurseTaxonomy 163W00000X · License RN270159 (GA)
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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

Brooke Elise Cummins Rn, Aprn, Fnp-bc 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 ID6507217916
PECOS Enrollment IDI20240110002974
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046

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 Brooke Cummins's NPI number?

The NPI number for Brooke Cummins is 1285376855. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Brooke Cummins located?

Brooke Cummins practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.

What is Brooke Cummins's specialty?

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

Is Brooke Cummins enrolled in Medicare?

Yes. Brooke 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.

What insurance does Brooke Cummins accept?

Health plans from Oscar Insurance Company list Brooke 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 Brooke Cummins affiliated with any hospitals?

According to CMS data, Brooke Cummins is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Brooke Cummins was last updated on January 21, 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.