SHARON MARIE CUMMINS FNP
NPI 1568947620
Nurse Practitioner in Fort Worth, TX

Q: What is Sharon Cummins's NPI number?

The NPI number for Sharon Cummins is 1568947620. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Q: What is Sharon Cummins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sharon Cummins was last updated on September 25, 2018. 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.

Active since September 25, 2018PECOS Enrolled

6100 HARRIS PKWY STE 340, FORT WORTH, TX 76132(817) 433-5111(817) 433-5119 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Sharon Marie Cummins Fnp NPPES

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

SHARON MARIE CUMMINS FNP (NPI 1568947620) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (AP138834) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568947620

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHARON MARIE CUMMINSCredential: FNP

Location Address6100 HARRIS PKWY STE 340Fort Worth, TX 76132-4133

Mailing AddressP.o. Box 961205Fort Worth, TX 76161-1205 · (817) 740-8450

Phone(817) 433-5111

Fax(817) 433-5119

Sole ProprietorNo

Enumeration DateSeptember 25, 2018

✔ NPI 1568947620 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 TX · AP138834

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.

6100 HARRIS PKWY STE 340, Fort Worth, TX 76132

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Sharon Marie Cummins Fnp 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.

Medicare Billing Reassignments

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

Texas Health Care, P.L.L.C.

Same address

Family Medicine

6100 HARRIS PARKWAY,, SUITE 340
Fort Worth, TX 76132

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Health Care PLLC
511 clinicians in this Medicare group

NPI 1194881557 (817) 433-5111

Rj Medical Services LLC

21 mi

Clinic/Center

1910 FORT WORTH HWY
Weatherford, TX 76086

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1588253678 (817) 210-6580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

286 services38 patients

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.

158 services125 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

154 services38 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.

133 services118 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

75 services69 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

41 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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 Sharon Cummins's NPI number?

The NPI number for Sharon Cummins is 1568947620. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Sharon Cummins located?

Sharon Cummins practices at 6100 Harris Pkwy Ste 340, Fort Worth, TX 76132. The listed phone number is (817) 433-5111.

What is Sharon Cummins's specialty?

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

Is Sharon Cummins enrolled in Medicare?

Yes. Sharon Cummins is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sharon Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Cummins reassigns Medicare benefits to 2 organizations: Texas Health Care, P.L.L.C. (Fort Worth, TX) and Rj Medical Services LLC (Weatherford, TX). 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 Sharon Cummins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Cummins accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Sharon 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.

When was this NPI record last updated?

The NPPES record for Sharon Cummins was last updated on September 25, 2018. 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.