ELIZABETH KENDRICK CUNNINGHAM (PA-C) – Physician Assistant, NPI 1760591887
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELIZABETH KENDRICK CUNNINGHAM (PA-C)
SR 104, Chillicothe, Ross County, Ohio, 45601, United States
CHILLICOTHE, OH 456018608
Phone: (740) 649-2507
Type: Mailing
31 SEYMOUR STREET, #204A
HARTFORD HOSPITAL ORTHOPEDICS-BJI PREPARE CENTER
HARTFORD, CT 061065521
Phone: (860) 972-0475
Type: Mailing
31 SEYMOUR ST, 204A
HARTFORD HOSPITAL ORTHOPEDICS DEPT-BJI PREPARE CENTER
HARTFORD, CT 061065521
Phone: (860) 972-0475
Type: Location
41800 W 11 MILE RD STE 109
NOVI, MI 483751818
Phone: (248) 660-1220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Novo Nordisk Inc ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150519000076 | I | Physician Assistant | TX | TBD |
| I20151222002052 | I | Physician Assistant | NY | TBD |
| I20160621001530 | I | Physician Assistant | WA | TBD |
| I20180709002210 | I | Physician Assistant | CT | TBD |
| I20240426002006 | I | Physician Assistant | MN | TBD |
| I20250313000499 | I | Physician Assistant | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45601)
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