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JESSICA L CUMMINGS APN
NPI 1366672719
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
56 CLUB MANOR DR, SUITE 100, PUEBLO, CO 81008(719) 584-4767(719) 595-7906 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica L Cummings Apn NPPES

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

JESSICA L CUMMINGS APN (NPI 1366672719) is an individual psychiatric/mental health provider in Pueblo, Colorado, licensed in Colorado (NP-10013) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366672719
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA L CUMMINGSCredential: APN
Location Address56 CLUB MANOR DR, SUITE 100Pueblo, CO 81008-1685
Mailing AddressPo Box 560825Denver, CO 80256-0825 · (719) 595-7580 · Fax (719) 545-0176
Phone(719) 584-4767
Fax(719) 595-7906
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 20, 2009
Last NPPES UpdateFebruary 18, 2016
✔ NPI 1366672719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · NP-10013
56 CLUB MANOR DR, Pueblo, CO 81008
Open in Google Maps ↗

Other Identifiers 2

Medicaid56421524CO
Medicare PINCOA104364CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Providence Health Plan.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

Jessica L Cummings Apn 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 ID5890978068
PECOS Enrollment IDI20110324000992
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services17 patients
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.
33 services17 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.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

DR. SUSAN R. MIDDLETON M.D.
Psychiatry & Neurology (Psychiatry)
56 CLUB MANOR DR
PUEBLO, CO 81008
Pueblo County (719) 584-4767
DR. MUSHARRAF ASHROF NIZAMI M.D.
Psychiatry & Neurology (Psychiatry)
56 CLUB MANOR DR, SUITE 100
PUEBLO, CO 81008
Pueblo County (719) 584-4767
FRONT RANGE PSYCHIATRIC ASSOCIATES, P.C.
Psychiatry & Neurology (Psychiatry)
56 CLUB MANOR DR, 100
PUEBLO, CO 81008
Pueblo County (719) 584-4767
TANYA DAWN HAND
Counselor (Mental Health)
56 CLUB MANOR DR, SUITE 100
PUEBLO, CO 81008
Pueblo County (719) 584-4671
MUSHARRAF A. NIZAMI, M.D. PC
Psychiatry & Neurology (Psychiatry)
56 CLUB MANOR DR, SUITE 100
PUEBLO, CO 81008
Pueblo County (719) 584-4767

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 Jessica Cummings's NPI number?

The NPI number for Jessica Cummings is 1366672719. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Jessica Cummings located?

Jessica Cummings practices at 56 Club Manor Dr Suite 100, Pueblo, CO 81008. The listed phone number is (719) 584-4767.

What is Jessica Cummings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Cummings enrolled in Medicare?

Yes. Jessica 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 Jessica Cummings accept?

Health plans from Oscar Health Plan, Inc. and Providence Health Plan list Jessica 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 Jessica Cummings was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.