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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOPHIA PRASKALA FNP-C
NPI 1154772150
Nurse Practitioner - Family in Raleigh, NC

Active since June 30, 2016PECOS Enrolled
2340 SPRING FOREST RD, RALEIGH, NC 27615(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Aug 24, 2026, Aug 7, 2026 and 4 more (7 updates tracked since 2016).

About Sophia Praskala Fnp-c NPPES

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

SOPHIA PRASKALA FNP-C (NPI 1154772150) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5008688) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154772150
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA PRASKALACredential: FNP-C
Location Address2340 SPRING FOREST RDRaleigh, NC 27615-7528
Mailing Address2340 Spring Forest RdRaleigh, NC 27615-7528 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Enumeration DateJune 30, 2016
Last NPPES UpdateAugust 31, 20267 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1154772150 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 NC · 5008688✔ Licensed in SC · 26441✔ Licensed in PA · SP027896✔ Licensed in VA · 0024196936
2340 SPRING FOREST RD, Raleigh, NC 27615
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1698 Fairview RdSimpsonville, SC 29680-6708 · Phone (866) 389-2727
Location 219305 Ruby DrLeesburg, VA 20176-6508 · Phone (866) 389-2727
Location 31218 E Lancaster AveBryn Mawr, PA 19010-2616 · Phone (866) 389-2727

Other Identifiers 1

Medicaid1154772150NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Praskala Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Sophia Praskala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Curana Health Of North Carolina PLLC
25 mi
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1770217176 (337) 408-0797
Physicians Eldercare PA
25 mi
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group
NPI 1023083268 (337) 991-9276
Curana Health Of South Carolina PC
223 mi
Internal Medicine
2375 BAKER HOSPITAL BLVD
North Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 409 clinicians in this Medicare group
NPI 1316477896 (337) 991-9276
Curana Health Medical Group LLC
1,171 mi
Internal Medicine
8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
NPI 1255640678 (337) 991-9276
Villagehealth Dm LLC
1,464 mi
Case Management
2000 16TH ST
Denver, CO 80202
  • Reassigned Medicare billing, South Carolina enrollment
  • 10 clinicians in this Medicare group
NPI 1598273211 (303) 405-2100

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 5

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
110 services39 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
70 services40 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
70 services48 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
47 services20 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%304 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. LAURIE A EDWARDS NP-C
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (704) 872-6355
MACY BLACKWELL FNP
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727
CVS/CAREMARK
Community/Behavioral Health
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401
SARAH BAKER FNP-C
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401
MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727
ASHLEY SIMMONS PHARMD
Pharmacist
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401
REENA SHARMA
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727
DR. JOHN CRAIG SOMMERVILLE RPH, PHARMD
Pharmacy (Community/Retail Pharmacy)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401

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 Sophia Praskala's NPI number?

The NPI number for Sophia Praskala is 1154772150. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Sophia Praskala located?

Sophia Praskala practices at 2340 Spring Forest Rd, Raleigh, NC 27615. The listed phone number is (866) 389-2727.

What is Sophia Praskala's specialty?

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

Is Sophia Praskala enrolled in Medicare?

Yes. Sophia Praskala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Praskala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Praskala reassigns Medicare benefits to 5 organizations: Curana Health Of North Carolina PLLC (Durham, NC), Physicians Eldercare PA (Durham, NC), Curana Health Of South Carolina PC (North Charleston, SC), Curana Health Medical Group LLC (Austin, TX) and Villagehealth Dm LLC (Denver, CO). 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 Sophia Praskala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Praskala accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Sophia Praskala 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 Sophia Praskala was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.