CMS-1500 Box 24J / 33a • NPI
1972073807
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP2300X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care
Box 32 Service Location & ZIP+4
439 S ROSS ST, BEAVERTON, MI, 48612-9101
✓ 9-Digit EDI 837 ZIP+4 (48612-9101)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972073807 (JENNA M MCCUMMINGS, AGPCNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1972073807)
Medicare Beneficiaries
215
Total Billed Services
366
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$23,138.43
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 249 |
99443 | Telephone medical discussion with physician, 21-30 minutes | 18 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 72 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Allopurinol Allopurinol | 94 | 32 |
| Amlodipine Besylate Amlodipine Besylate | 168 | 59 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 15 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 12 | <11 |
| Benazepril Hcl Benazepril Hcl | 16 | <11 |
| Bumetanide Bumetanide | 28 | <11 |
| Calcitriol Calcitriol | 291 | 95 |
| Candesartan Cilexetil Candesartan Cilexetil | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972073807 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNA M MCCUMMINGS, AGPCNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: 363LP2300X (Nurse Practitioner, Primary Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 439 S ROSS ST, BEAVERTON, MI, 48612-9101 |
| Practice Telephone / Fax | Tel: (989) 246-3500 |
| Administrative Mailing Address | 439 S ROSS ST, BEAVERTON, MI, 48612-9101 |
| Enumeration & Last Sync | Enumerated: 2018-12-04 | CMS Record Updated: 2019-08-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)
What Does Taxonomy Code 363LP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNA M MCCUMMINGS, AGPCNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: MI | License: 4704275966 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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