ANDREA RANDAZZO KUMMER APRN
NPI 1902419880
Nurse Practitioner - Family in Houston, TX

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2024, Nov 11, 2022, Jan 15, 2021 and 1 more (4 updates tracked since 2020).

About Andrea Randazzo Kummer Aprn NPPES

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

ANDREA RANDAZZO KUMMER APRN (NPI 1902419880) is an individual family provider in Houston, Texas, licensed in Texas (AP145131) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Tops Surgical Specialty Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902419880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA RANDAZZO KUMMERCredential: APRN
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressP O Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 28, 2020
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1902419880 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 · AP145131
1515 HOLCOMBE BLVD, Houston, TX 77030

Other Identifiers 1

Medicaid416217406TX

Accepted Insurance

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

Andrea Randazzo Kummer Aprn 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 ID2668892589
PECOS Enrollment IDI20201015000039
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 6

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.
78 services70 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.
40 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services17 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
32 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
31 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

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.

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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

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 Andrea Kummer's NPI number?

The NPI number for Andrea Kummer is 1902419880. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Andrea Kummer located?

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

What is Andrea Kummer's specialty?

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

Is Andrea Kummer enrolled in Medicare?

Yes. Andrea Kummer 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.

What insurance does Andrea Kummer accept?

Health plans from Imperial Insurance Companies, Inc. list Andrea Kummer 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.

Is Andrea Kummer affiliated with any hospitals?

According to CMS data, Andrea Kummer is affiliated with Tops Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Kummer was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.