CLAIRE ALLISON CUMMINGS FNP-BC
NPI 1417468166
Nurse Practitioner - Family in Nanuet, NY

Active since October 21, 2017PECOS EnrolledAccepts Medicare Assignment
12 FOREST BROOK RD, NANUET, NY 10954(908) 329-0088 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2022, Oct 21, 2017 (2 updates tracked since 2017).

About Claire Allison Cummings Fnp-bc NPPES

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

CLAIRE ALLISON CUMMINGS FNP-BC (NPI 1417468166) is an individual family provider in Nanuet, New York, licensed in New York (F348636-01) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417468166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAIRE ALLISON CUMMINGSCredential: FNP-BC
Location Address12 FOREST BROOK RDNanuet, NY 10954-4425
Mailing Address12 Forest Brook RdNanuet, NY 10954-4425 · (908) 329-0088
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2017
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1417468166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F348636-01
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 699141-1 (NY)
12 FOREST BROOK RD, Nanuet, NY 10954

Other Names 1

Other Name (5)Claire Allison Cummings Fnp

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

Claire Allison Cummings Fnp-bc 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 ID9133575491
PECOS Enrollment IDI20231024001229
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

5

Medicare enrollment records show Claire Cummings reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
160 N MIDLAND AVE
Nyack, NY 10960
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 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.

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

Helen Hayes Hospital

Acute Care Hospitals · West Haverstraw, NY
OwnershipGovernment - State
CMS Certification Number330405
Location51 North Route 9WWest Haverstraw, NY 10993 · Rockland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10954 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Claire Cummings's NPI number?

The NPI number for Claire Cummings is 1417468166. It was assigned to this individual provider in the NPPES registry on October 21, 2017. The provider is also known as Claire Allison Cummings Fnp.

Where is Claire Cummings located?

Claire Cummings practices at 12 Forest Brook Rd, Nanuet, NY 10954. The listed phone number is (908) 329-0088.

What is Claire Cummings's specialty?

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

Is Claire Cummings enrolled in Medicare?

Yes. Claire 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.

Which organizations bill Medicare for Claire Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Cummings reassigns Medicare benefits to 5 organizations: White Plains Medical Diagnostic Services, PC (Nyack, NY), Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and House Call Medical Services Of New York, PLLC (Bronx, NY). 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 Claire Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Claire Cummings affiliated with any hospitals?

According to CMS data, Claire Cummings is affiliated with Nyack Hospital and Helen Hayes Hospital.

When was this NPI record last updated?

The NPPES record for Claire Cummings was last updated on August 25, 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.