KRISTEN CUMMINGS
NPI 1366092314
Nurse Practitioner in Fall River, MA

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment
300 HANOVER ST, FALL RIVER, MA 02720(508) 973-8611 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2024, Sep 11, 2019 (2 updates tracked since 2019).

About Kristen Cummings NPPES

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

KRISTEN CUMMINGS (NPI 1366092314) is an individual nurse practitioner in Fall River, Massachusetts, licensed in Massachusetts (RN236789) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366092314
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTEN CUMMINGS
Location Address300 HANOVER STFall River, MA 02720
Mailing Address200 Mill RdFairhaven, MA 02719-5252 · (508) 973-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 11, 2019
Last NPPES UpdateSeptember 8, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
NPI 1366092314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MA · RN236789 Licensed in RI · APRN03943
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.
300 HANOVER ST, Fall River, MA 02720

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

Kristen Cummings 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 ID9032516919
PECOS Enrollment IDI20231010000291
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
416 services188 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims29 services$4.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers32 claims32 services$2.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$68.42 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
7 suppliers27 claims3,330 services$0.09 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$50.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
7 suppliers28 claims28 services$22.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Obstetrics & Gynecology)
300 HANOVER ST, STE 1E
FALL RIVER, MA 02720
Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 HANOVER ST, 2E
FALL RIVER, MA 02720
Surgery (Plastic and Reconstructive Surgery)
300 HANOVER ST, SUITE 1-A
FALL RIVER, MA 02720
Specialist
300 HANOVER ST, SUITE 4A
FALL RIVER, MA 02720
Obstetrics & Gynecology
300 HANOVER ST, STE 3A
FALL RIVER, MA 02720
Obstetrics & Gynecology
300 HANOVER ST, SUITE 1E
FALL RIVER, MA 02720
Nurse Practitioner
300 HANOVER ST
FALL RIVER, MA 02720
Nurse Practitioner
300 HANOVER ST
FALL RIVER, MA 02720

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 Kristen Cummings's NPI number?

The NPI number for Kristen Cummings is 1366092314. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Kristen Cummings located?

Kristen Cummings practices at 300 Hanover St, Fall River, MA 02720. The listed phone number is (508) 973-8611.

What is Kristen Cummings's specialty?

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

Is Kristen Cummings enrolled in Medicare?

Yes. Kristen 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.

What insurance does Kristen Cummings accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristen 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.

Is Kristen Cummings affiliated with any hospitals?

According to CMS data, Kristen Cummings is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Kristen Cummings was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.