NIRMALA DAHAL DHUNGANA FNP
NPI 1053905950
Nurse Practitioner - Family in Hampton, VA

Active since February 22, 2021PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
2315 W MERCURY BLVD, HAMPTON, VA 23666(757) 262-1227 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2021, Feb 22, 2021 (2 updates tracked since 2021).

About Nirmala Dahal Dhungana Fnp NPPES

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

NIRMALA DAHAL DHUNGANA FNP (NPI 1053905950) is an individual family provider in Hampton, Virginia, licensed in Virginia (0024187091) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053905950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIRMALA DAHAL DHUNGANACredential: FNP
Location Address2315 W MERCURY BLVDHampton, VA 23666-3114
Mailing Address2315 W Mercury BlvdHampton, VA 23666-3114 · (757) 262-1227
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 22, 2021
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
NPI 1053905950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in VA · 0024187091 Licensed in TX · 1030644
2315 W MERCURY BLVD, Hampton, VA 23666

Secondary Practice Locations 2

Location 19140 Guilbeau RdSan Antonio, TX 78250-3080 · Phone (210) 520-5183
Location 212100 Warwick Blvd Ste 202Newport News, VA 23601-2365 · Phone (757) 594-4198

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

Nirmala Dahal Dhungana Fnp 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 ID2860883881
PECOS Enrollment IDI20230912003890
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 2

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.
53 services53 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

Other Providers at the Same Location NPPES 9

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

Pharmacist
2315 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacist
2315 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacist
2315 W MERCURY BLVD
HAMPTON, VA 23666
Nurse Practitioner (Family)
2315 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacist
2315 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacy Technician
2315 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacist
2315 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacist
2315 W MERCURY BLVD
HAMPTON, VA 23666

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 Nirmala Dhungana's NPI number?

The NPI number for Nirmala Dhungana is 1053905950. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Nirmala Dhungana located?

Nirmala Dhungana practices at 2315 W Mercury Blvd, Hampton, VA 23666. The listed phone number is (757) 262-1227.

What is Nirmala Dhungana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nirmala Dhungana enrolled in Medicare?

Yes. Nirmala Dhungana 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 Nirmala Dhungana accept?

Health plans from Blue Cross and Blue Shield of Texas list Nirmala Dhungana 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 Nirmala Dhungana affiliated with any hospitals?

According to CMS data, Nirmala Dhungana is affiliated with Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center, Sentara Careplex Hospital, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Nirmala Dhungana was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.