KELLIE CUMMINGS PA
NPI 1407480551
Physician Assistant in Newburgh, NY

Active since February 27, 2020PECOS EnrolledAccepts Medicare Assignment
400 GIDNEY AVE, NEWBURGH, NY 12550(845) 561-1565(845) 561-1578 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2022, Nov 12, 2020, Feb 27, 2020 (3 updates tracked since 2020).

About Kellie Cummings Pa NPPES

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

KELLIE CUMMINGS PA (NPI 1407480551) is an individual physician assistant in Newburgh, New York, licensed in New York (024733) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407480551
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE CUMMINGSCredential: PA
Location Address400 GIDNEY AVENewburgh, NY 12550-3760
Mailing AddressPo Box 36363Newark, NJ 07188-6306 · (845) 651-1400
Fax(845) 561-1578
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 27, 2020
Last NPPES UpdateApril 29, 20223 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
NPI 1407480551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 024733
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 GIDNEY AVE, Newburgh, NY 12550

Secondary Practice Locations 2

Location 1111 Maltese DrMiddletown, NY 10940-2141 · Phone (845) 342-4774
Location 2819 Little Britain Rd Ste 100New Windsor, NY 12553-5518 · Phone (845) 500-1985 ext. 1 · Fax (845) 522-8888

Other Identifiers 1

Other024733NY · Ny License

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

Kellie Cummings Pa 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 ID6800225228
PECOS Enrollment IDI20200407001402
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 6

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 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.
43 services43 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
31 services30 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
28 services12 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
16 services16 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.
14 services14 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
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 7

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

Social Worker
400 GIDNEY AVE
NEWBURGH, NY 12550
Speech-Language Pathologist
400 GIDNEY AVE
NEWBURGH, NY 12550
Dermatology
400 GIDNEY AVE
NEWBURGH, NY 12550
Physician Assistant (Medical)
400 GIDNEY AVE
NEWBURGH, NY 12550
Dermatology
400 GIDNEY AVE
NEWBURGH, NY 12550
Family Medicine
400 GIDNEY AVE
NEWBURGH, NY 12550
Physician Assistant (Medical)
400 GIDNEY AVE
NEWBURGH, NY 12550

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 Kellie Cummings's NPI number?

The NPI number for Kellie Cummings is 1407480551. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Kellie Cummings located?

Kellie Cummings practices at 400 Gidney Ave, Newburgh, NY 12550. The listed phone number is (845) 561-1565.

What is Kellie Cummings's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kellie Cummings enrolled in Medicare?

Yes. Kellie 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.

When was this NPI record last updated?

The NPPES record for Kellie Cummings was last updated on April 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.