Heather Cummins, APN
NPI 1164808713 · Family Nurse Practitioner · Lenoir City, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Cummins, APN is a Family Nurse Practitioner provider in Lenoir City, TN (NPI 1164808713).
Provider details
- NPI number
- 1164808713
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- APN0000020092 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
542 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 277 | $99 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 112 | $70 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 111 | $130 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 42 | $86 |
Typical Medicare-allowed amounts for these services range $70–$130 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Zolpidem Tartrate | 215 | 51 |
| Modafinil | 68 | 11 |
| Eszopiclone | 52 | 12 |
| Armodafinil | 41 | — |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphetamine | 38 | — |
| Clonazepam | 18 | — |
| Pitolisant Hclbrand: Wakix | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$458 across 31 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2023-05-18
- Certified
- 2023-05-18
Frequently asked questions
- What is Heather Cummins's NPI number?
- Heather Cummins's National Provider Identifier (NPI) is 1164808713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Cummins's specialty?
- Heather Cummins is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heather Cummins located?
- Heather Cummins's practice location on file with NPPES is 501 Adesa Blvd, Lenoir City, TN 37771-6725.
- What is Heather Cummins's phone number?
- The practice phone number listed in the NPPES registry for Heather Cummins is (865) 286-9977.
- Does Heather Cummins accept Medicare?
- Heather Cummins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Cummins's NPI active?
- Yes — Heather Cummins's NPI (1164808713) is active in the NPPES registry as of the last update on 2023-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.