Heather E. Cummins, APN
NPI 1164808713ActiveIndividual· Nurse Practitioner, Family· Lenoir City, TN
Nurse Practitioner, Family (APN) in Lenoir City, Tennessee, trained at Lincoln Memorial University Medical Department (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $502,709 for 562 claims, against $40,230 paid for services in 2024. Harmony Biosciences LLC was the largest of 3 companies reporting payments in 2025, $557.80 in all, mostly food and beverage.
Overview
| NPI | 1164808713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN |
| Sole proprietor | No |
| NPI issued | Aug 5, 2015 |
| Last updated in NPPES | May 18, 2023 |
| Certified by provider | May 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APN0000020092 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 421 |
|---|---|
| Services billed | 543 across 5 procedure codes |
| Paid by Medicare | $40,230 |
Part D prescriptions in 2024
| Prescriptions (claims) | 562 · 585 30-day fills |
|---|---|
| Patients | 94 |
| Total drug cost | $502,709 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Lincoln Memorial University Medical Department |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Keeton Clinic PLLCSevierville, TN · 2 clinicians
Industry payments (Open Payments)
- 2025$557.80 · 27 payments from 3 companies
- 2024$458.21 · 31 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Harmony Biosciences LLC | $310.68 | 16 |
| Axsome Therapeutics, Inc. | $231.25 | 10 |
| Lilly USA, LLC | $15.87 | 1 |
What the 2025 payments were for
- Food and Beverage$557.80 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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