SOPHIA MARIE CUNNINGHAM NP
NPI 1508354994
Nurse Practitioner - Family in Minnetonka, MN

Q: What is Sophia Cunningham's NPI number?

The NPI number for Sophia Cunningham is 1508354994. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Q: What is Sophia 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 Sophia Cunningham was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2018PECOS Enrolled

9900 BREN RD E, MINNETONKA, MN 55343(866) 204-0911 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2020, May 1, 2018 (2 updates tracked since 2018).

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About Sophia Marie Cunningham Np NPPES

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

SOPHIA MARIE CUNNINGHAM NP (NPI 1508354994) is an individual family provider in Minnetonka, Minnesota, licensed in Georgia (F08170737) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508354994

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSOPHIA MARIE CUNNINGHAMCredential: NP

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing AddressPo Box 1459Minneapolis, MN 55440-1459 · (866) 204-0911

Phone(866) 204-0911

Sole ProprietorYes

Enumeration DateMay 1, 2018

Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration

NPPES CertifiedAugust 14, 2020

✔ NPI 1508354994 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 GA · F08170737

9900 BREN RD E, Minnetonka, MN 55343

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Marie Cunningham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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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.

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Nurse Practitioner