Monica Cummins, FNP
NPI 1699553263 · Family Nurse Practitioner · Houston, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Cummins, FNP is a Family Nurse Practitioner provider in Houston, TX (NPI 1699553263).
Provider details
- NPI number
- 1699553263
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1129511 (TX)
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 tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
201 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $59 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 47 | $56 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $82 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 34 | $76 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 17 | $47 |
Typical Medicare-allowed amounts for these services range $47–$82 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Valacyclovir Hclbrand: Valacyclovir | 89 | 47 |
| Pantoprazole Sodium | 36 | 20 |
| Dexamethasone | 35 | 20 |
| Apixabanbrand: Eliquis | 23 | 12 |
| Potassium Chloride | 17 | 14 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 13 | — |
| Cholestyramine (with Sugar)brand: Cholestyramine |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Frequently asked questions
- What is Monica Cummins's NPI number?
- Monica Cummins's National Provider Identifier (NPI) is 1699553263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Cummins's specialty?
- Monica Cummins is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Monica Cummins located?
- Monica Cummins's practice location on file with NPPES is 1515 Holcombe Blvd, Houston, TX 77030-4000.
- What is Monica Cummins's phone number?
- The practice phone number listed in the NPPES registry for Monica Cummins is (713) 792-6161.
- Does Monica Cummins accept Medicare?
- Monica Cummins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Cummins's NPI active?
- Yes — Monica Cummins's NPI (1699553263) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.