PRIYA KISHNANI
Accepted Insurance for NPI 1114001021
Pediatrics in Durham, NC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PRIYA KISHNANI, a pediatrics provider in Durham, NC, is listed as in-network for 78 health insurance plans from 4 insurance companies, led by Ambetter of North Carolina, Blue Cross and Blue Shield of NC and Ambetter of Tennessee. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Absolute Total Care
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver
Standard Expanded Bronze
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of North Carolina
Clear Silver with $0 Insulin Options
Complete Gold + Vision + Adult Dental
Complete Gold with Atrium Health + Vision + Adult Dental
Complete Gold with Atrium Health
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze with Atrium Health + Vision + Adult Dental
Elite Bronze with Atrium Health
Elite Bronze
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze with Atrium Health + Vision + Adult Dental
Everyday Bronze with Atrium Health
Everyday Bronze
Focused Silver with Atrium Health + Vision + Adult Dental
Focused Silver with Atrium Health
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold with Atrium Health + Vision + Adult Dental
Standard Gold with Atrium Health
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver with Atrium Health + Vision + Adult Dental
Standard Silver with Atrium Health
Standard Silver
Ambetter of Tennessee
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Blue Cross and Blue Shield of NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone Health
Blue Home Bronze Standard | with Cone Health
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Cone Health
Blue Home Gold Standard A | with Cone Health
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Cone Health
Blue Home Silver Standard | with Cone Health
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does PRIYA KISHNANI accept?
Marketplace files for the 2026 plan year list PRIYA KISHNANI as in-network for 78 plans from 4 insurance companies. The largest networks are Ambetter of North Carolina (29 plans), Blue Cross and Blue Shield of NC (24 plans), Ambetter of Tennessee (16 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is PRIYA KISHNANI enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does PRIYA KISHNANI participate in?
The accepted plans include 47 HMO plans, 22 EPO plans and 9 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
