Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrel A Cunningham

Individual provider Gerontology Registered Nurse · NPI 1174256952

Patrel A Cunningham is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Family Practice Associates, PA, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

5800 Walnut St
Philadelphia, PA 19139-3836
Phone: (215) 474-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence SP025231 (PA)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence R250650 (PA)

Record details

NPI number1174256952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESJuly 8, 2022
Certification dateNovember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Family Practice Associates, Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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