1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Nurse Practitioner
  6. NPI Profile

HEATHER L CUNNINGHAM CNP
NPI 1457542474
Nurse Practitioner - Family in Columbus, OH

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1145 OLENTANGY RIVER RD FL 4, COLUMBUS, OH 43212(614) 293-5066(614) 293-9449 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Mar 22, 2018 (2 updates tracked since 2018).

About Heather L Cunningham Cnp NPPES

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

HEATHER L CUNNINGHAM CNP (NPI 1457542474) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.09495) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1457542474
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER L CUNNINGHAMCredential: CNP
Location Address1145 OLENTANGY RIVER RD FL 4Columbus, OH 43212-3117
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5066 · Fax (614) 293-9449
Phone(614) 293-5066
Fax(614) 293-9449
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2007
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1457542474 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 OH · APRN.CNP.09495
1145 OLENTANGY RIVER RD FL 4, Columbus, OH 43212
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Heather L Cunningham Cnp 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 ID7719072511
PECOS Enrollment IDI20071008000455
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 2

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 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.
131 services95 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.
58 services56 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

KATHY MARIE MAGEE APRN-CNP
Nurse Practitioner
1145 OLENTANGY RIVER RD FL 4
COLUMBUS, OH 43212
Franklin County (614) 293-5066
BRITTANY NICOLE MOENTER APRN-CNP
Nurse Practitioner
1145 OLENTANGY RIVER RD FL 4
COLUMBUS, OH 43212
Franklin County (614) 293-5066
NEREA LOPETEGUI-LIA M.D.
Internal Medicine (Medical Oncology)
1145 OLENTANGY RIVER RD FL 4
COLUMBUS, OH 43212
Franklin County (614) 293-5066
REBECCA L SACKS APRN-CNP
Nurse Practitioner
1145 OLENTANGY RIVER RD FL 4
COLUMBUS, OH 43212
Franklin County (614) 293-5066

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 Heather Cunningham's NPI number?

The NPI number for Heather Cunningham is 1457542474. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Heather Cunningham located?

Heather Cunningham practices at 1145 Olentangy River Rd Fl 4, Columbus, OH 43212. The listed phone number is (614) 293-5066.

What is Heather Cunningham's specialty?

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

Is Heather Cunningham enrolled in Medicare?

Yes. Heather 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.

What insurance does Heather Cunningham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Heather 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 Heather Cunningham affiliated with any hospitals?

According to CMS data, Heather Cunningham is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Heather Cunningham was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.