Individual provider Active NPI

Abby Cunningham, CRNP

  • Adult Health Nurse Practitioner
  • East Stroudsburg, PA
National Provider Identifier
1679167654
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP022260 Issued in PA
Practice address
235 E Brown St
East Stroudsburg, PA 18301-3013
Phone
(272) 212-4000
Fax
(866) 230-6623
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP022260 PA Primary

Addresses

Primary practice location

235 E Brown St
East Stroudsburg, PA 18301-3013

Mailing address

235 E Brown St
East Stroudsburg, PA 18301-3013
Phone (272) 212-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, DC, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210308000230 PA Practitioner - Nurse Practitioner 0941616585 Reassigns benefits to 2 organizations
I20260402002069 VA Practitioner - Nurse Practitioner 0941616585 Reassigns benefits to 1 organization
I20260404000063 DC Practitioner - Nurse Practitioner 0941616585 Reassigns benefits to 1 organization
I20260528001586 AZ Practitioner - Nurse Practitioner 0941616585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Mar 22, 2021 Accepting new patients
Monogram Health Professional Services PC CurrentSince Sep 16, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 22, 2021 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

516 Jenna Dr
Brodheadsville, PA 18322
Phone (272) 212-4000

235 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3872

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 265-7981

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

  • Direct secure messaging: abby.cunningham.1@22854.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1679167654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013013",
            "telephone_number": "272-212-4000",
            "fax_number": "866-230-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013013",
            "telephone_number": "272-212-4000",
            "fax_number": "866-230-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ABBY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP022260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.