Karen B. Cummins, NP
NPI 1295229615ActiveIndividual· Nurse Practitioner· York, ME
Nurse Practitioner (NP) with York Hospital, practicing in York, Maine. Their prescriptions cost Medicare Part D more than their services did: $13,313 for 156 claims, against $3,577 paid for services in 2024. Bayer Healthcare Pharmaceuticals Inc. reported $59.20 in payments in 2024, mostly food and beverage. Lists York Hospital as a hospital affiliation.
Overview
| NPI | 1295229615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jun 19, 2018 |
| Last updated in NPPES | Jun 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | CNP40273 | ME |
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 (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 81 across 10 procedure codes |
| Paid by Medicare | $3,577 |
Part D prescriptions in 2024
| Prescriptions (claims) | 156 · 268 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $13,313 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- York HospitalWells, ME · 198 clinicians
Hospital affiliation
- York HospitalYork, ME
Industry payments (Open Payments)
- 2024$59.20 · 3 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $59.20 | 3 |
What the 2024 payments were for
- Food and Beverage$59.20 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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