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SEAN M. CUNNINGHAM PMHNP-BC
NPI 1699608505
Nurse Practitioner - Psychiatric/Mental Health in Houma, LA

Active since June 08, 2026PECOS Enrolled
235 CIVIC CENTER BLVD, HOUMA, LA 70360(985) 879-3966 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean M. Cunningham Pmhnp-bc NPPES

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

SEAN M. CUNNINGHAM PMHNP-BC (NPI 1699608505) is an individual psychiatric/mental health provider in Houma, Louisiana, licensed in Louisiana (210504) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1699608505
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSEAN M. CUNNINGHAMCredential: PMHNP-BC
Location Address235 CIVIC CENTER BLVDHouma, LA 70360-5937
Mailing Address235 Civic Center BlvdHouma, LA 70360-5937 · (985) 333-2020 · Fax (985) 851-0162
Phone(985) 879-3966
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 8, 2026
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1699608505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in LA · 210504
235 CIVIC CENTER BLVD, Houma, LA 70360
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean M. Cunningham Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456817097
PECOS Enrollment IDI20260803003392
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 Reassignment

Medicare enrollment records show Sean Cunningham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Start Corporation
0.5 mi
Mental Health (Including Community Mental Health Center)
420 MAGNOLIA ST
Houma, LA 70360
  • Reassigned Medicare billing, Louisiana enrollment
  • 68 clinicians in this Medicare group
NPI 1700156866 (985) 879-3966

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 70360 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

RANADA LYNN CHOUEST
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 213-9754
ANGEL ANTRELLE HARRIS
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 879-3966
MR. PHILIP ANDREW LOTTINGER JR. PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 851-0162
ESPREE PAYNE
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 879-3966
BRITTNEY VALKEISHA DANIELS-BRANCH
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 879-3966
HANNAH BOURG AA
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 879-3966
MADELYN HILL
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 333-2020
ASHLY ANNETTE PURVIS RN
Case Manager/Care Coordinator
235 CIVIC CENTER BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 879-3966

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 Sean Cunningham's NPI number?

The NPI number for Sean Cunningham is 1699608505. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Sean Cunningham located?

Sean Cunningham practices at 235 Civic Center Blvd, Houma, LA 70360. The listed phone number is (985) 879-3966.

What is Sean Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sean Cunningham enrolled in Medicare?

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

Which organization bills Medicare for Sean Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Cunningham reassigns Medicare benefits to Start Corporation (Houma, LA). The 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 Sean Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Cunningham accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Sean Cunningham 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 Sean Cunningham was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.