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TANIKA KAY CUSHING PA-C
NPI 1891147328
Physician Assistant in Verona, VA

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
1 GREEN HILLS DR, VERONA, VA 24482(540) 245-7425(540) 245-7430 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, May 10, 2023, Jan 2, 2019 and 2 more (5 updates tracked since 2017).

About Tanika Kay Cushing Pa-c NPPES

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

TANIKA KAY CUSHING PA-C (NPI 1891147328) is an individual physician assistant in Verona, Virginia, licensed in Virginia (0110006256) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Wellsboro, and maintains a secondary practice location in Elkland.

NPPES Registry Identity

NPI1891147328
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTANIKA KAY CUSHINGCredential: PA-C
Location Address1 GREEN HILLS DRVerona, VA 24482-2654
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 332-5168 · Fax (540) 332-5875
Phone(540) 245-7425
Fax(540) 245-7430
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 8, 2016
Last NPPES UpdateAugust 7, 20255 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1891147328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110006256✔ Licensed in PA · MA058338
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 GREEN HILLS DR, Verona, VA 24482
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Secondary Practice Location 1

Location 1103 Forestview AveElkland, PA 16920-1403 · Phone (814) 258-5117

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

Tanika Kay Cushing Pa-c 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 ID2769778919
PECOS Enrollment IDI20181220003164
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 7

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 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.
196 services141 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.
66 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services19 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391316
Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24482 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%52 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%85 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%90 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%49 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

SHAUN ERIC CARPENTER DO
Hospitalist
1 GREEN HILLS DR
VERONA, VA 24482
Augusta County (540) 245-7425
NGOC HAI LE D.O
Family Medicine
1 GREEN HILLS DR
VERONA, VA 24482
Augusta County (540) 248-4487
AARON HORTON PA-C
Physician Assistant
1 GREEN HILLS DR
VERONA, VA 24482
Augusta County (540) 245-7425

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 Tanika Cushing's NPI number?

The NPI number for Tanika Cushing is 1891147328. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Tanika Cushing located?

Tanika Cushing practices at 1 Green Hills Dr, Verona, VA 24482. The listed phone number is (540) 245-7425.

What is Tanika Cushing's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tanika Cushing enrolled in Medicare?

Yes. Tanika Cushing 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.

Is Tanika Cushing affiliated with any hospitals?

According to CMS data, Tanika Cushing is affiliated with Upmc Wellsboro and Augusta Health.

When was this NPI record last updated?

The NPPES record for Tanika Cushing was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.