Doctor profile · Federal record
Dr. Heather Cummins, APN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Lenoir City, TN
- NPI 1164808713
- Accepts Medicare
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
501 Adesa Blvd
Lenoir City, TN 377716725
(865) 286-9977
fax (865) 286-9967 - Mailing address
-
131 Saundersville RD, Ste 160
Hendersonville, TN 370758903
Credentials & registration
- NPI registered
- August 2015 — 11 yrs on file
- Profile last updated
- May 18, 2023
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Tennessee #APN0000020092
- Medicaid
- TN #Q015610
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164808713. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
498
Distinct HCPCS
4
Medicare allowed
$51,159
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 290 | 255 | $100 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 119 | 119 | $131 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 76 | 67 | $71 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $83 |
In context: peer comparison
Among 16 peers in Lenoir City Family Nurse Practitioner, average services per provider: 55. This provider delivers 9.1× the peer median.Open Payments
Industry payments received
All-time total
$458
Transactions
31
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Harmony Biosciences LLC | 19 | $315.08 | |
| Harmony Biosciences LLC | 12 | $143.13 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
420
Patients
40
Total drug cost
$293,370
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Zolpidem Tartrate | Generic | 190 | 40 | $1,309 |
| Modafinil | Generic | 53 | 0 | $3,119 |
| Armodafinil | Generic | 27 | 0 | $2,007 |
| Dextroamphetamine-Amphetamine (Dextroamphetamine/Amphetamine) | Brand | 26 | 0 | $1,094 |
| Sunosi (Solriamfetol Hcl) | Brand | 22 | 0 | $18,389 |
| Clonazepam | Generic | 18 | 0 | $58 |
| Temazepam | Generic | 18 | 0 | $57 |
| Belsomra (Suvorexant) | Brand | 15 | 0 | $6,793 |
| Gabapentin | Generic | 15 | 0 | $73 |
| Xyrem (Sodium Oxybate) | Brand | 13 | 0 | $259,327 |
Frequently asked questions
What is Dr. Heather Cummins's medical specialty?
Dr. Heather Cummins practices Family Nurse Practitioner in Lenoir City, TN.
Where does Dr. Heather Cummins practice?
Dr. Heather Cummins practices at 501 Adesa Blvd, Lenoir City, TN 377716725. Office phone: 8652869977.
What is Dr. Heather Cummins's NPI?
Dr. Heather Cummins's National Provider Identifier (NPI) is 1164808713, issued by NPPES.
Does Dr. Heather Cummins accept Medicare assignment?
Yes. Dr. Heather Cummins accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Heather Cummins commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.