PRIYA DUBEY MSN
NPI 1073087250
Nurse Practitioner - Family in Dover, DE

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment
1198 S GOVERNORS AVE STE B100, DOVER, DE 19904(302) 734-3227(302) 734-0391 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2025, Mar 17, 2025, Mar 10, 2025 and 1 more (4 updates tracked since 2019).

About Priya Dubey Msn NPPES

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

PRIYA DUBEY MSN (NPI 1073087250) is an individual family provider in Dover, Delaware, licensed in Delaware (LG-0001216) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073087250
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRIYA DUBEYCredential: MSN
Location Address1198 S GOVERNORS AVE STE B100Dover, DE 19904-6930
Mailing Address4923 Ogletown Stanton Rd Ste 200Newark, DE 19713-2081 · (302) 225-0451 · Fax (302) 225-0470
Fax(302) 734-0391
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 22, 2019
Last NPPES UpdateMay 13, 20254 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1073087250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in DE · LG-0001216
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License L8-0010541 (DE), AC006089 (MD)
1198 S GOVERNORS AVE STE B100, Dover, DE 19904

Other Names 1

Other Name (5)Priya Shukla

Accepted Insurance

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

Priya Dubey Msn 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 ID7517207186
PECOS Enrollment IDI20190318001322
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

3

Medicare enrollment records show Priya Dubey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5641 DUPONT PKWY
Smyrna, DE 19977
  • Reassigned Medicare billing, Delaware enrollment
  • 6 clinicians in this Medicare group
Nephrology
4923 OGLETOWN STANTON RD, SUITE 200
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 64 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Delaware enrollments
  • 1,424 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

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
62 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Nephrology)
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Nurse's Aide
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Internal Medicine (Nephrology)
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Nurse's Aide
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Registered Nurse
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Internal Medicine (Nephrology)
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Internal Medicine (Nephrology)
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904
Nurse Practitioner (Family)
1198 S GOVERNORS AVE STE B100
DOVER, DE 19904

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 Priya Dubey's NPI number?

The NPI number for Priya Dubey is 1073087250. It was assigned to this individual provider in the NPPES registry on January 22, 2019. The provider is also known as Priya Shukla.

Where is Priya Dubey located?

Priya Dubey practices at 1198 S Governors Ave Ste B100, Dover, DE 19904. The listed phone number is (302) 734-3227.

What is Priya Dubey's specialty?

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

Is Priya Dubey enrolled in Medicare?

Yes. Priya Dubey 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 Priya Dubey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Dubey reassigns Medicare benefits to 3 organizations: St Albert Family Clinic And Services (Smyrna, DE), Nephrology Associates PA (Newark, DE) and Grow Healthcare Group PA (Miami, FL). 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 Priya Dubey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Dubey accept?

Health plans from AmeriHealth Caritas Next list Priya Dubey 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.

When was this NPI record last updated?

The NPPES record for Priya Dubey was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.