NISHA NAIR
NPI 1043822927
Nurse Practitioner - Women's Health in Fresno, CA

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
6730 N WEST AVE STE 115, FRESNO, CA 93711(559) 261-9320 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nisha Nair NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHA NAIR (NPI 1043822927) is an individual women's health provider in Fresno, California, licensed in California (95014245) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043822927
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameNISHA NAIR
Location Address6730 N WEST AVE STE 115Fresno, CA 93711-4301
Mailing Address1884 E Turnberry AveFresno, CA 93730-3546
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1043822927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in CA · 95014245
6730 N WEST AVE STE 115, Fresno, CA 93711

Other Names 1

Former Name (1)Nisha Nath Chandini

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nisha Nair is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143640490
PECOS Enrollment IDI20201026002871
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nisha Nair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7370 N PALM AVE STE 101
Fresno, CA 93711
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group
Multi-Specialty
7257 N FRESNO ST
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 604 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
6730 N WEST AVE STE 115
FRESNO, CA 93711
Obstetrics & Gynecology
6730 N WEST AVE STE 115
FRESNO, CA 93711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisha Nair's NPI number?

The NPI number for Nisha Nair is 1043822927. It was assigned to this individual provider in the NPPES registry on August 20, 2020. The provider is also known as Nisha Nath Chandini.

Where is Nisha Nair located?

Nisha Nair practices at 6730 N West Ave Ste 115, Fresno, CA 93711. The listed phone number is (559) 261-9320.

What is Nisha Nair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Nisha Nair enrolled in Medicare?

Yes. Nisha Nair is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nisha Nair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Nair reassigns Medicare benefits to 2 organizations: Community Foundation Medical Group (Fresno, CA) and Community Health Partners (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nisha Nair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nisha Nair was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.