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SHILPA RIMAL NP
NPI 1104548932
Nurse Practitioner in Charlotte, NC

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 4 more (7 updates tracked since 2022).

About Shilpa Rimal Np NPPES

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

SHILPA RIMAL NP (NPI 1104548932) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5015861) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104548932
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHILPA RIMALCredential: NP
Location Address501 BILLINGSLEY RD, STE BCharlotte, NC 28211-1009
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 444-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 19, 2022
Last NPPES UpdateJuly 15, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1104548932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5015861
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
501 BILLINGSLEY RD, Charlotte, NC 28211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

Shilpa Rimal 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 ID2668840943
PECOS Enrollment IDI20221117000276
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.

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

STEPHANIE FRANCIS NEWBY MD
Psychiatry & Neurology (Addiction Medicine)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
BORIS MAXIMOVICH KISELEV MD
Internal Medicine
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
NEISHA PETTAWAY LCMHCA
Counselor (Mental Health)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
MRS. ROSE K CHIN RPH
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862
HRISTOS CHRISTOPHER KARANIKAS MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DR. TERESA KATHRYN HOSKINS DO, MPH, CPH
Student in an Organized Health Care Education/Training Program
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
TIMOTHY COOPER KING MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DAVID FRANKLIN TAYLOR PHARMD
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862

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 Shilpa Rimal's NPI number?

The NPI number for Shilpa Rimal is 1104548932. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Shilpa Rimal located?

Shilpa Rimal practices at 501 Billingsley Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is Shilpa Rimal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shilpa Rimal enrolled in Medicare?

Yes. Shilpa Rimal 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 Shilpa Rimal accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shilpa Rimal 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 Shilpa Rimal affiliated with any hospitals?

According to CMS data, Shilpa Rimal is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shilpa Rimal was last updated on July 15, 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.