Quick answers
- Does Karen B. Cummins accept Medicare assignment?
- Yes. Medicare's clinician data says Karen B. Cummins accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Karen B. Cummins see?
- In 2024, CMS data shows 45 Original Medicare patients and 81 services for Karen B. Cummins. This counts Original Medicare only and measures volume, not quality.
- What is Karen B. Cummins's NPI number?
- 1295229615. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Karen B. Cummins, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 45 |
|---|---|
| Services billed to Medicare | 81 |
| Different services or procedures | 10 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)40 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)20 services
- Cervical or vaginal cancer screening; pelvic and clinical breast examination (G0101)11 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High cholesterol64%
- High blood pressure58%
- Anxiety44%
- Arthritis38%
- Depression27%
Hospitals where Karen B. Cummins works
Medicare's Facility Affiliation Data lists Karen B. Cummins at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- York HospitalYork, ME · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 200020
Practice locations
Addresses where Karen B. Cummins is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 6; the Medicare profile lists all.
- 15 Hospital DrYork, ME 03909 (207) 363‑4321
- 16 Hospital DrYork, ME 03909
- 16 Hospital Dr, Suite AYork, ME 03909 (207) 774‑5761
- 16 Hospital Dr A, Orthopaedics Associates of York HospitalYork, ME 03909 (207) 363‑3700
- 16 Hospital Dr C, York Hospital Ob/gyn Surgical and MidwiferyYork, ME 03909 (207) 351‑3455
Group practices
Medicare enrollment lists Karen B. Cummins as a member of this group (CMS data updated October 2, 2026).
- York Hospital198 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in York
Clinicians with the same Medicare primary specialty in York, ME — not a recommendation.
Other clinicians in York Hospital
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2018 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1295229615 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians