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MONICA NGUYEN CUMMINS FNP
NPI 1699553263
Nurse Practitioner - Family in Houston, TX

Active since September 15, 2023PECOS EnrolledAccepts Medicare Assignment
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monica Nguyen Cummins Fnp NPPES

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

MONICA NGUYEN CUMMINS FNP (NPI 1699553263) is an individual family provider in Houston, Texas, licensed in Texas (1129511) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699553263
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA NGUYEN CUMMINSCredential: FNP
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Phone(713) 792-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 15, 2023
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1699553263 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 TX · 1129511
1515 HOLCOMBE BLVD, Houston, TX 77030
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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 and accepts Medicare assignment

Monica Nguyen Cummins Fnp 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 ID840649547
PECOS Enrollment IDI20231206002951
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 5

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.

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.
58 services27 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.
47 services47 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.
45 services41 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
34 services31 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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. MERRY CHEN MD
Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
AMEENA BAGREE MALHOTRA M.D.
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Harris County (713) 792-6161
SOLANGE ERLYN COX MD
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2360
DR. BRYAN KEITH GUILLORY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JANUARY Y TSAI MD
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. SUNYOUNG LEE MD
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MRS. RACHEL KRAMER FUTRELL PA-C
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MEGAN J TANNER NP-C
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

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 Monica Cummins's NPI number?

The NPI number for Monica Cummins is 1699553263. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Monica Cummins located?

Monica Cummins practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Monica Cummins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monica Cummins enrolled in Medicare?

Yes. Monica 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.

When was this NPI record last updated?

The NPPES record for Monica Cummins was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.