Diane H. Cummings, CNP
NPI 1538149190ActiveIndividual· Nurse Practitioner· Albuquerque, NM
Nurse Practitioner (CNP) with Dhhs Phs Naihs Shiprock Hospital, practicing in Albuquerque, New Mexico. Their prescriptions cost Medicare Part D more than their services did: $159,256 for 1,684 claims, against $25,685 paid for services in 2024. Lists Northern Navajo Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1538149190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Jan 19, 2006 |
| Last updated in NPPES | Nov 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | CNP1154 | NM |
| Nurse Practitioner, Family | 363LF0000X | R47159 | NM |
| Advanced Practice Midwife | 367A00000X | 508 | NM |
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 (NM); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 344 across 8 procedure codes |
| Paid by Medicare | $25,685 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,684 · 1,685 30-day fills |
|---|---|
| Patients | 177 |
| Total drug cost | $159,256 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Dhhs Phs Naihs Shiprock HospitalShiprock, NM · 149 clinicians
Hospital affiliations
- Northern Navajo Medical CenterShiprock, NM
- San Juan Regional Medical Center IncFarmington, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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