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KARI LYNN CUMMINS CNM
NPI 1942909171
Advanced Practice Midwife in Knoxville, TN

Active since February 27, 2023PECOS Enrolled
1924 ALCOA HWY, KNOXVILLE, TN 37920(865) 305-9000 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kari Lynn Cummins Cnm NPPES

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

KARI LYNN CUMMINS CNM (NPI 1942909171) is an individual advanced practice midwife in Knoxville, Tennessee and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942909171
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKARI LYNN CUMMINSCredential: CNM
Location Address1924 ALCOA HWYKnoxville, TN 37920-6900
Mailing Address12931 Heathland DrKnoxville, TN 37934-4440 · (407) 690-1342
Phone(865) 305-9000
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1942909171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1924 ALCOA HWY, Knoxville, TN 37920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kari Lynn Cummins Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kari Cummins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Emergency Obstetrics LLC
Same address
Obstetrics & Gynecology
1924 ALCOA HWY
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
NPI 1629706445 (865) 305-9799
University Health System, Inc
Same address
Dermatology
1924 ALCOA HWY
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1083332951 (865) 305-9410

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 37920 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

MRS. SUSANNE LORI MITCHELL RN
Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Knox County (865) 305-8888
DR. FELIX JOSEPH NEPVEUX V M.D.
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Knox County (864) 498-8960
DR. SPENCER PUGH M.D.
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Knox County (865) 305-9340
CAITLIN TABLER LOWE
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-7255
CHRISTIAN BAYLESS CRNA
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9000
JOAN JAKAB
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-5337
UNIVERSITY PATHOLOGISTS, P.C.
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9080
DAPHNE M. NORWOOD, MD
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Knox County (865) 305-9349

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 Kari Cummins's NPI number?

The NPI number for Kari Cummins is 1942909171. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Kari Cummins located?

Kari Cummins practices at 1924 Alcoa Hwy, Knoxville, TN 37920. The listed phone number is (865) 305-9000.

What is Kari Cummins's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kari Cummins enrolled in Medicare?

Yes. Kari Cummins is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kari Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kari Cummins reassigns Medicare benefits to 2 organizations: University Emergency Obstetrics LLC (Knoxville, TN) and University Health System, Inc (Knoxville, TN). 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 Kari Cummins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kari Cummins accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Kari Cummins 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 Kari Cummins was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.