Kellie Cummings, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024733 Issued in NY

Practice address

400 Gidney Ave
Newburgh, NY 12550-3760

Phone

(845) 561-1565

Fax

(845) 561-1578

NPI assigned

Feb 27, 2020

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Horizon Medical Group, P.C.

  dba Horizon Family Medical Group

  • Family Medicine Physician
  • Goshen, NY
  • NPI 1063488179
  Medicare reassignment Care Compare group
• F P Murphy MD PC

  • Dermatology Physician
  • New Windsor, NY
  • NPI 1730423633
  Medicare reassignment
• Parisi Dermatology, PLLC

  • Dermatology Physician
  • Poughkeepsie, NY
  • NPI 1174190680
  Medicare reassignment
• Horizon Medical Group, P.C.

  dba Horizon Family Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Yorktown Heights, NY
  • NPI 1386520021
  NPD
• Hudson Valley Dermatology, P. C.

  • Dermatology Physician
  • Newburgh, NY
  • NPI 1417943861
  NPD (past)

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1407480551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36363",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071886306",
            "telephone_number": "845-651-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503760",
            "telephone_number": "845-561-1565",
            "fax_number": "845-561-1578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Maltese Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402141",
            "country_code": "US",
            "telephone_number": "845-342-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 Little Britain Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125535518",
            "country_code": "US",
            "telephone_number": "845-500-1985 x1",
            "fax_number": "845-522-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KELLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "024733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Cruz
• Rosalind Cruz, FNP
• Crystal Run Healthcare Physicians LLP
• Joyce Anne Cuevas, RN
• Culture Wellness &Development for Marriages &Familytherapy, P.C.
• Bert Cunin, PHD
• Pamela Ann Cunningham, LCSW-R
• Carli Anne Curtiss, LMT
• Laura Patricia Cutrona, M.S.ED
• Amy Cutter, L.M.T.

• Physician Assistant in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.