PENNY CUMMINS MONTCALM NP
NPI 1376877241
Nurse Practitioner - Family in Mangham, LA

Active since September 25, 2009PECOS EnrolledAccepts Medicare Assignment
91.19/100
CMS Quality Rating
261 HIGHWAY 132, MANGHAM, LA 71259(318) 248-2807(318) 248-2967 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2019, Nov 29, 2017 (2 updates tracked since 2017).

About Penny Cummins Montcalm Np NPPES

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

PENNY CUMMINS MONTCALM NP (NPI 1376877241) is an individual family provider in Mangham, Louisiana, licensed in Louisiana (RNO077152 APO4877) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376877241
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePENNY CUMMINS MONTCALMCredential: NP
Location Address261 HIGHWAY 132Mangham, LA 71259-5269
Mailing Address130 Desiard St Ste 355Monroe, LA 71201-7363 · (318) 807-7875 · Fax (318) 812-6603
Fax(318) 248-2967
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 25, 2009
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
NPI 1376877241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · RNO077152 APO4877
261 HIGHWAY 132, Mangham, LA 71259

Other Identifiers 1

Medicaid2458132LA

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

Penny Cummins Montcalm 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 ID446383269
PECOS Enrollment IDI20100730000650
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 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
393 services188 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
103 services52 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
91 services44 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
89 services42 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
51 services32 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.
42 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71259 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

91.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.33
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
261 HIGHWAY 132
MANGHAM, LA 71259
Nurse Practitioner (Family)
261 HIGHWAY 132
MANGHAM, LA 71259
Family Medicine
261 HIGHWAY 132
MANGHAM, LA 71259
Social Worker (Clinical)
261 HIGHWAY 132
MANGHAM, LA 71259
Nurse Practitioner (Family)
261 HIGHWAY 132
MANGHAM, LA 71259
Clinic/Center (Rural Health)
261 HIGHWAY 132
MANGHAM, LA 71259
Nurse Practitioner (Family)
261 HIGHWAY 132
MANGHAM, LA 71259

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 Penny Montcalm's NPI number?

The NPI number for Penny Montcalm is 1376877241. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Penny Montcalm located?

Penny Montcalm practices at 261 Highway 132, Mangham, LA 71259. The listed phone number is (318) 248-2807.

What is Penny Montcalm's specialty?

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

Is Penny Montcalm enrolled in Medicare?

Yes. Penny Montcalm 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 Penny Montcalm accept?

Health plans from HMO Louisiana list Penny Montcalm 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 Penny Montcalm was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.