KELSEY ELIZABETH CUNNINGHAM CRNP
NPI 1457996092
Nurse Practitioner - Family in Erie, PA

Q: What is Kelsey Cunningham's NPI number?

The NPI number for Kelsey Cunningham is 1457996092. It was assigned to this individual provider in the NPPES registry on November 7, 2019.

Q: What is Kelsey Cunningham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Cunningham was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 07, 2019PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

4950 BUFFALO RD, ERIE, PA 16510(814) 899-7000 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Jul 26, 2022, Oct 5, 2020 and 2 more (5 updates tracked since 2019).

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About Kelsey Elizabeth Cunningham Crnp NPPES

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

KELSEY ELIZABETH CUNNINGHAM CRNP (NPI 1457996092) is an individual family provider in Erie, Pennsylvania, licensed in Pennsylvania (SP021129) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1457996092

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELSEY ELIZABETH CUNNINGHAMCredential: CRNP

Location Address4950 BUFFALO RDErie, PA 16510-2304

Mailing Address4950 Buffalo RdErie, PA 16510-2304 · (814) 899-7000 · Fax (814) 899-0334

Phone(814) 899-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 7, 2019

Last NPPES UpdateSeptember 30, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1457996092 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 PA · SP021129

4950 BUFFALO RD, Erie, PA 16510

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Secondary Practice Location 1

Location 12315 Myrtle St Ste 190Erie, PA 16502-4604 · Phone (814) 453-7767 ext. 2227 · Fax (814) 454-8638

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

Kelsey Elizabeth Cunningham Crnp 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 ID7517391402

PECOS Enrollment IDI20191231001934

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 4

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.

121 services84 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

54 services54 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services18 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.

18 services16 patients

Hospital Affiliations CMS Care Compare

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390009

Location232 West 25th StreetErie, PA 16544 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16510 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

CYNTHIA L DAHLKEMPER CRNP

Nurse Practitioner (Primary Care)