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MARY KAY CUMMINS ARNP
NPI 1497758239
Nurse Practitioner in Clay Center, KS

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
609 LIBERTY ST, CLAY CENTER, KS 67432(785) 632-2181(785) 632-2309 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Mary Kay Cummins Arnp NPPES

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

MARY KAY CUMMINS ARNP (NPI 1497758239) is an individual nurse practitioner in Clay Center, Kansas, licensed in Kansas (44328) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Community Hospital, Onaga And St Marys Campus, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1497758239
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY KAY CUMMINSCredential: ARNP
Location Address609 LIBERTY STClay Center, KS 67432-1564
Mailing Address609 Liberty StClay Center, KS 67432-1564 · (785) 632-2181 · Fax (785) 632-2309
Phone(785) 632-2181
Fax(785) 632-2309
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1497758239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 44328
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
609 LIBERTY ST, Clay Center, KS 67432
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1120 W 8th StOnaga, KS 66521-9574 · Phone (785) 889-4274 · Fax (785) 889-4714
Location 2112 E 2nd StFrankfort, KS 66427-1403 · Phone (785) 292-4451 · Fax (785) 292-4286
Location 3606 1st StCentralia, KS 66415-9637 · Phone (785) 857-3334 · Fax (785) 857-3397
Location 4302 Main StWestmoreland, KS 66549-9684 · Phone (785) 457-9890 · Fax (785) 457-9891
Location 5206 S Grand AveSaint Marys, KS 66536-1637 · Phone (785) 437-3734 · Fax (785) 437-6186
Location 61603 W 4th StHolton, KS 66436-1153 · Phone (785) 364-3205 · Fax (785) 364-3468
Location 7114 W 8th StOnaga, KS 66521-9574 · Phone (785) 889-4241 · Fax (785) 889-4749

Other Identifiers 1

Medicaid100353750AKS

Accepted Insurance

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

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

Mary Kay Cummins Arnp 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 ID8527081280
PECOS Enrollment IDI20060109000390
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

2

Medicare enrollment records show Mary Cummins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Healthcare System, Inc
51 mi
Family Medicine
120 W 8TH ST
Onaga, KS 66521
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1457351389 (Kansas)
  • 32 clinicians in this Medicare group
NPI 1093771776 (785) 889-4274
Lincoln County Hospital
60 mi
Rural Health
313 E FRANKLIN ST
Lincoln, KS 67455
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1942265327 (Kansas)
  • 48 clinicians in this Medicare group
NPI 1841248952 (785) 524-4403

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

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

Community Hospital, Onaga And St Marys Campus

Critical Access Hospitals · Onaga, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171354
Location120 West 8th StreetOnaga, KS 66521 · Pottawatomie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67432 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

CRYSTAL LYNN HATHORNE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2181
TIMOTHY M. PENNER M.D.
Family Medicine
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2181
ERIC ANDERSON
Family Medicine
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2144
CLAY CENTER FAMILY PHYSICIANS PA
Clinic/Center (Health Service)
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2181
PAMELA D BRABEC APRN-C
Nurse Practitioner
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2181
LINDA MARIE BOTT ARNP
Nurse Practitioner (Family)
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2181
ALYA M HOUGHTON APRN
Nurse Practitioner (Family)
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2144
ELIZABETH A KOERNER M.D.
Family Medicine
609 LIBERTY ST
CLAY CENTER, KS 67432
Clay County (785) 632-2181

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 Mary Cummins's NPI number?

The NPI number for Mary Cummins is 1497758239. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Mary Cummins located?

Mary Cummins practices at 609 Liberty St, Clay Center, KS 67432. The listed phone number is (785) 632-2181.

What is Mary Cummins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Cummins enrolled in Medicare?

Yes. Mary Cummins 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 Mary Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Cummins reassigns Medicare benefits to 2 organizations: Community Healthcare System, Inc (Onaga, KS) and Lincoln County Hospital (Lincoln, KS). 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 Mary Cummins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Cummins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Mary Cummins 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 Mary Cummins affiliated with any hospitals?

According to CMS data, Mary Cummins is affiliated with Community Hospital, Onaga And St Marys Campus.

When was this NPI record last updated?

The NPPES record for Mary Cummins was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.