ABBY CUNNINGHAM CRNP
NPI 1679167654
Nurse Practitioner - Adult Health in East Stroudsburg, PA

Active since February 22, 2021PECOS Enrolled
95.64/100
CMS Quality Rating
235 E BROWN ST, EAST STROUDSBURG, PA 18301(272) 212-4000(866) 230-6623 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abby Cunningham Crnp NPPES

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

ABBY CUNNINGHAM CRNP (NPI 1679167654) is an individual adult health provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP022260) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679167654
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameABBY CUNNINGHAMCredential: CRNP
Location Address235 E BROWN STEast Stroudsburg, PA 18301-3013
Mailing Address235 E Brown StEast Stroudsburg, PA 18301-3013 · (272) 212-4000 · Fax (866) 230-6623
Fax(866) 230-6623
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1679167654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP022260
235 E BROWN ST, East Stroudsburg, PA 18301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Cunningham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941616585
PECOS Enrollment IDI20260528001586
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

3

Medicare enrollment records show Abby Cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
237 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Arizona, District of Columbia, Louisiana, Pennsylvania, South Carolina and Virginia enrollments
  • Also billed through NPI 1134739089 (Virginia), NPI 1659987436 (Louisiana)
  • 67 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Acute Care)
235 E BROWN ST
EAST STROUDSBURG, PA 18301
Internal Medicine (Cardiovascular Disease)
235 E BROWN ST
EAST STROUDSBURG, PA 18301
Psychiatry & Neurology (Neurology)
235 E BROWN ST
EAST STROUDSBURG, PA 18301
Internal Medicine (Cardiovascular Disease)
235 E BROWN ST
EAST STROUDSBURG, PA 18301

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 Abby Cunningham's NPI number?

The NPI number for Abby Cunningham is 1679167654. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Abby Cunningham located?

Abby Cunningham practices at 235 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (272) 212-4000.

What is Abby Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Abby Cunningham enrolled in Medicare?

Yes. Abby Cunningham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abby Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abby Cunningham reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (East Stroudsburg, PA), Monogram Health Professional Services Of Texas PLLC (Brentwood, TN) and Monogram Health Professional Services PC (Brentwood, TN). 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 Abby Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abby Cunningham was last updated on February 22, 2021. 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.