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MS. DIANE H CUMMINGS CNP
NPI 1538149190
Nurse Practitioner in Albuquerque, NM

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
7801 ACADEMY RD NE, ALBUQUERQUE, NM 87109(505) 272-2700(505) 272-6308 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Diane H Cummings Cnp NPPES

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

MS. DIANE H CUMMINGS CNP (NPI 1538149190) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (CNP1154) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1538149190
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DIANE H CUMMINGSCredential: CNP
Location Address7801 ACADEMY RD NEAlbuquerque, NM 87109-3379
Mailing Address80 B Veterans BlvdAcoma, NM 87034 · (505) 552-5300 · Fax (505) 552-5490
Phone(505) 272-2700
Fax(505) 272-6308
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 19, 2006
Last NPPES UpdateNovember 14, 2017
✔ NPI 1538149190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · CNP1154
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R47159 (NM)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 508 (NM)
7801 ACADEMY RD NE, Albuquerque, NM 87109
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Other Identifiers 3

Medicare UPINQ73090NM
Medicaid86109766NM
MedicaidH3451NM

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

Ms. Diane H Cummings 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 ID6608875075
PECOS Enrollment IDI20171129001502
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
154 services54 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
96 services54 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
27 services16 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
22 services16 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

DR. LI LI DOM
Acupuncturist
7801 ACADEMY RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 620-9853
CELESTE SAUNDERS CNP
Nurse Practitioner (Psychiatric/Mental Health)
7801 ACADEMY RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 730-5020
JULIE BROYLES
Internal Medicine
7801 ACADEMY RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 272-2700
DIANE BAPTISTA FNPC
Nurse Practitioner (Family)
7801 ACADEMY RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 272-2700
MARIAH DANIELLE MEGLI RN
Nurse Practitioner (Family)
7801 ACADEMY RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 287-2958
JOHN JONES
Specialist
7801 ACADEMY RD NE, SUITE 4
ALBUQUERQUE, NM 87109
Bernalillo County (505) 272-2700
CASSIDY PIPAL
Social Worker (School)
7801 ACADEMY RD NE, BLDG 2 SUITE 200
ALBUQUERQUE, NM 87109
Bernalillo County (505) 273-6300
MARYAM BORNAEI
Nurse Practitioner (Family)
7801 ACADEMY RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 272-2700

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 Diane Cummings's NPI number?

The NPI number for Diane Cummings is 1538149190. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Diane Cummings located?

Diane Cummings practices at 7801 Academy Rd NE, Albuquerque, NM 87109. The listed phone number is (505) 272-2700.

What is Diane Cummings's specialty?

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

Is Diane Cummings enrolled in Medicare?

Yes. Diane 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.

Is Diane Cummings affiliated with any hospitals?

According to CMS data, Diane Cummings is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Diane Cummings was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.