PHILANA P CUNNINGHAM MSN, FNP-BC
NPI 1861093601
Nurse Practitioner - Family in Paso Robles, CA
About Philana P Cunningham Msn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILANA P CUNNINGHAM MSN, FNP-BC (NPI 1861093601) is an individual family provider in Paso Robles, California, licensed in California (95015865) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atascadero, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Philana P Cunningham Msn, Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Philana Cunningham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atascadero, CA 93422
- Reassigned Medicare billing, California enrollment
- 755 clinicians in this Medicare group
Los Angeles, CA 90017
- Reassigned Medicare billing, California enrollment
- 18 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 93446 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASO ROBLES, CA 93446
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 Philana Cunningham's NPI number?
The NPI number for Philana Cunningham is 1861093601. It was assigned to this individual provider in the NPPES registry on November 6, 2020.
Where is Philana Cunningham located?
Philana Cunningham practices at 1345 Park St # 111, Paso Robles, CA 93446. The listed phone number is (805) 203-0569.
What is Philana Cunningham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Philana Cunningham enrolled in Medicare?
Yes. Philana Cunningham 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.
Which organizations bill Medicare for Philana Cunningham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philana Cunningham reassigns Medicare benefits to 2 organizations: Department Of State Hospitals (Atascadero, CA) and Openloop Healthcare Partners California PC (Los Angeles, CA). 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 Philana Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philana Cunningham accept?
Health plans from Ambetter Health and Blue Cross and Blue Shield of Texas list Philana 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 Philana Cunningham was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Philana P Cunningham, MSN, FNP-BC · NPI 1861093601
Family physician in Paso Robles, California. Individual provider, active in the CMS NPPES registry since November 6, 2020.
## Identity
- **NPI:** 1861093601 (Entity type: Individual)
- **Enumerated:** November 6, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015865 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1345 PARK ST # 111, Paso Robles, CA 93446-2236
- **Phone:** (805) 203-0569 · **Fax:** (949) 909-2260
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Department Of State Hospitals (NPI 1174573802, Atascadero, CA); Openloop Healthcare Partners California PC (NPI 1598418063, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861093601) · Data from the CMS NPPES public registry.