Individual provider Active NPI

Cerina Marie Cunningham, NP

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1255939484
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011147A Issued in IN
Practice address
524 N Fairview St
Bloomington, IN 47404-3774
Phone
(812) 330-7837
Fax
(812) 330-7837
NPI assigned
Oct 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011147A IN Primary

Addresses

Primary practice location

524 N Fairview St
Bloomington, IN 47404-3774

Mailing address

7901 State Highway 43
Spencer, IN 47460-5804
Phone (765) 341-6914

Other practice location 1

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-3333

Other practice location 2

833 Indianapolis Rd Ste E
Greencastle, IN 46135-1591
Phone (765) 301-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831003398 IN Practitioner - Nurse Practitioner 9739585613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLC 386 clinicians

Practice addresses (Care Compare)

2920 S McIntire Dr
Suite 100a
Bloomington, IN 47403-4213
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Mar 3, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Jun 17, 2024 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jun 17, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Mar 3, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

9778 E US Highway 36
Avon, IN 46123

550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

2920 S McIntire Dr
Ste 100A
Bloomington, IN 47403

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2556 Waterbridge Way
Evansville, IN 47710

7230 Engle Rd
Ste 302
Fort Wayne, IN 46804

973 Emerson Pkwy
Ste D
Greenwood, IN 46143
Phone (317) 585-5730

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8330 Naab Rd
Ste 230
Indianapolis, IN 46260

5118 E Lincoln Hwy
Merrillville, IN 46410

360 Dunes Plz
Michigan City, IN 46360

3665 Park Pl W
Ste 300
Mishawaka, IN 46545
Phone (574) 314-6436

3411 N Briarwood Ln
Muncie, IN 47304
Phone (317) 870-1970

306 Ridge Rd
Munster, IN 46321

5787 S US Highway 41
Terre Haute, IN 47802
Phone (812) 219-5702

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1255939484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 STATE HIGHWAY 43",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474605804",
            "telephone_number": "765-341-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N FAIRVIEW ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043774",
            "telephone_number": "812-330-7837",
            "fax_number": "812-330-7837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "812-353-3333",
            "fax_number": "812-323-8528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Indianapolis Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461351591",
            "country_code": "US",
            "telephone_number": "765-301-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CERINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011147A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.