KAREN CUNNINGHAM MD
NPI 1972659142
Psychiatry & Neurology - Psychiatry in Jacksonville, FL
About Karen Cunningham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN CUNNINGHAM MD (NPI 1972659142) is an individual psychiatry provider in Jacksonville, Florida, licensed in Florida (ME119963) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of Medical University Of South Carolina College Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses 2
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
Karen Cunningham Md 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
3Medicare enrollment records show Karen Cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32216
- Reassigned Medicare billing, Florida enrollment
- 43 clinicians in this Medicare group
Macclenny, FL 32063
- Reassigned Medicare billing, Florida enrollment
- 89 clinicians in this Medicare group
Panama City, FL 32405
- Reassigned Medicare billing, Florida enrollment
- 31 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 32216 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Karen Cunningham's NPI number?
The NPI number for Karen Cunningham is 1972659142. It was assigned to this individual provider in the NPPES registry on January 28, 2007.
Where is Karen Cunningham located?
Karen Cunningham practices at 6300 Beach Blvd, Jacksonville, FL 32216. The listed phone number is (904) 724-9202.
What is Karen Cunningham's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Karen Cunningham enrolled in Medicare?
Yes. Karen 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 Karen Cunningham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Cunningham reassigns Medicare benefits to 3 organizations: Tbj Behavioral Center LLC (Jacksonville, FL), Florida Department Of Children And Families (Macclenny, FL) and Emerald Coast Behavioral Hospital, LLC (Panama City, FL). 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 Karen Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Cunningham accept?
Health plans from Oscar Health Maintenance Organization of Florida list Karen 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 Karen Cunningham was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Karen Cunningham, MD · NPI 1972659142
Psychiatry physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since January 28, 2007.
## Identity
- **NPI:** 1972659142 (Entity type: Individual)
- **Enumerated:** January 28, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** ME119963 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6300 BEACH BLVD, Jacksonville, FL 32216-2708
- **Phone:** (904) 724-9202
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Tbj Behavioral Center LLC (NPI 1568633683, Jacksonville, FL); Florida Department Of Children And Families (NPI 1013931765, Macclenny, FL); Emerald Coast Behavioral Hospital, LLC (NPI 1578795332, Panama City, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 1991
## Record status
- **NPPES last updated:** November 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1972659142) · Data from the CMS NPPES public registry.