Dr Nichole Leigh Cummings, MD - Medicare Internal Medicine in St Cloud, MN

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Dr Nichole Leigh Cummings, MD is a medicare enrolled "Hospitalist" physician in St Cloud, Minnesota. She went to University Of Minnesota Medical School and graduated in 2011 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Centracare Clinic, Centracare Health System-nr Llc and her current practice location is 1200 Sixth Ave N, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 251-2700.

Dr Nichole Leigh Cummings is licensed to practice in Minnesota (license number 57978) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558641951.

Contact Information

Dr Nichole Leigh Cummings, MD
1200 Sixth Ave N,
St Cloud, MN 56303-2735
(320) 251-2700
Not Available

Map and Direction




Physician's Profile

Full NameDr Nichole Leigh Cummings
GenderFemale
SpecialityInternal Medicine
Experience14 Years
Location1200 Sixth Ave N, St Cloud, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nichole Leigh Cummings attended and graduated from University Of Minnesota Medical School in 2011
  NPI Data:
  • NPI Number: 1558641951
  • Provider Enumeration Date: 08/17/2011
  • Last Update Date: 04/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9931325339
  • Enrollment ID: I20140721001469

Medical Identifiers

Medical identifiers for Dr Nichole Leigh Cummings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558641951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 57978 (Minnesota)Primary
207R00000XInternal Medicine 57978 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare Health - MonticelloMonticello, MNHospital
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395701
Centracare Health System-nr Llc387073941050

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nichole Leigh Cummings allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameCentracare Health System - Long Prairie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20050823000460
Entity NameCentracare Health System - Long Prairie
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20061104000579
Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134
Entity NameCentracare Health System-nr Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nichole Leigh Cummings is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nichole Leigh Cummings, MD
1200 Sixth Ave N, Centracare Clinic,
St Cloud, MN 56303-2735

Ph: (320) 252-5131		Dr Nichole Leigh Cummings, MD
1200 Sixth Ave N,
St Cloud, MN 56303-2735

Ph: (320) 251-2700

Reviews and Comments


Hospitalist Doctors in St Cloud, MN

Dr. Christopher William Wieland, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 314-362-9878
Dr. Hilary Ikenna Ufearo, MBBS
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303
Phone: 320-229-4907    
Ravikanth Nathani, MBBS
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centra Care Clinic, St Cloud, MN 56303
Phone: 320-251-2700    
Dr. Jeremy Michael Skramsted, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-251-2700    
Dr. Marie Denise Alfonso Guanzon, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 701-530-7000    Fax: 701-530-8842
Oluyemi Adebowale Ajayi, MBBS
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 937-352-3580

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.