CINDY L CUNNINGHAM NP
NPI 1366459091
Nurse Practitioner - Acute Care in Worcester, MA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 421-1131(508) 421-1026 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 28, 2020, Mar 18, 2019, Jun 22, 2018 (3 updates tracked since 2018).

About Cindy L Cunningham Np NPPES

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

CINDY L CUNNINGHAM NP (NPI 1366459091) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN173918) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (1998).

NPPES Registry Identity

NPI1366459091
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCINDY L CUNNINGHAMCredential: NP
Location Address55 LAKE AVE NWorcester, MA 01655
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-8105
Fax(508) 421-1026
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1998
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 16, 20223 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
✔ NPI 1366459091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN173918
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN173918 (MA)
55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 1

Medicaid110013891AMA

Accepted 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

Cindy L Cunningham Np 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 ID4082651815
PECOS Enrollment IDI20050413000917
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

3

Medicare enrollment records show Cindy Cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Cindy Cunningham's NPI number?

The NPI number for Cindy Cunningham is 1366459091. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Cindy Cunningham located?

Cindy Cunningham practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 421-1131.

What is Cindy Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cindy Cunningham enrolled in Medicare?

Yes. Cindy 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.

Which organizations bill Medicare for Cindy Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cindy Cunningham reassigns Medicare benefits to 3 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Beth Israel Deaconess Medical Center, Inc. (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Cindy Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cindy Cunningham accept?

Health plans from Anthem Blue Cross and Blue Shield list Cindy 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 Cindy Cunningham affiliated with any hospitals?

According to CMS data, Cindy Cunningham is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Cindy Cunningham was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.