MR. PRACHANDA KHADKA NP
NPI 1053863282
Nurse Practitioner - Primary Care in Lacey, WA

Active since November 04, 2016PECOS EnrolledAccepts Medicare Assignment
2555 MARVIN RD NE, LACEY, WA 98516(360) 413-4200(360) 413-4225 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, May 18, 2021, Nov 4, 2016 (3 updates tracked since 2016).

About Mr. Prachanda Khadka Np NPPES

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

MR. PRACHANDA KHADKA NP (NPI 1053863282) is an individual primary care provider in Lacey, Washington, licensed in Texas (AP125526) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053863282
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. PRACHANDA KHADKACredential: NP
Location Address2555 MARVIN RD NELacey, WA 98516-3138
Mailing AddressPo Box 3360Portland, OR 97208-3360
Fax(360) 413-4225
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 4, 2016
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1053863282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · AP125526
2555 MARVIN RD NE, Lacey, WA 98516

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Prachanda Khadka Np 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 ID4688009525
PECOS Enrollment IDI20200122002811
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.

Areas of Expertise CMS Part B claims 10

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.
222 services181 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.
190 services156 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services32 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
25 services25 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98516 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers22 claims47 services$5.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE FM
LACEY, WA 98516
Family Medicine
2555 MARVIN RD NE
LACEY, WA 98516
Internal Medicine
2555 MARVIN RD NE
LACEY, WA 98516
Community Health Worker
2555 MARVIN RD NE
LACEY, WA 98516
Nurse Practitioner (Family)
2555 MARVIN RD NE
LACEY, WA 98516
Nurse Practitioner (Family)
2555 MARVIN RD NE
LACEY, WA 98516
Family Medicine
2555 MARVIN RD NE
LACEY, WA 98516
Nurse Practitioner
2555 MARVIN RD NE, HAWKS PRAIRIE FAMILY MEDICINE
LACEY, WA 98516

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 Prachanda Khadka's NPI number?

The NPI number for Prachanda Khadka is 1053863282. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Prachanda Khadka located?

Prachanda Khadka practices at 2555 Marvin Rd NE, Lacey, WA 98516. The listed phone number is (360) 413-4200.

What is Prachanda Khadka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Prachanda Khadka enrolled in Medicare?

Yes. Prachanda Khadka 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.

What insurance does Prachanda Khadka accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Prachanda Khadka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prachanda Khadka affiliated with any hospitals?

According to CMS data, Prachanda Khadka is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Prachanda Khadka was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.