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SRIJANA DHAKAL BANIYA APN
NPI 1205349933
Nurse Practitioner in Waco, TX

Active since November 16, 2017PECOS EnrolledAccepts Medicare Assignment
69.75/100
CMS Quality Rating
611 W HWY 6 STE 101, WACO, TX 76710(254) 755-4582 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Aug 16, 2024, Mar 10, 2023 and 4 more (7 updates tracked since 2017).

About Srijana Dhakal Baniya Apn NPPES

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

SRIJANA DHAKAL BANIYA APN (NPI 1205349933) is an individual nurse practitioner in Waco, Texas, licensed in Texas (AP135073) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205349933
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSRIJANA DHAKAL BANIYACredential: APN
Location Address611 W HWY 6 STE 101Waco, TX 76710-7545
Mailing Address611 W Hwy 6 Ste 101Waco, TX 76710-7545 · (254) 755-4582 · Fax (254) 755-4585
Phone(254) 755-4582
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 16, 2017
Last NPPES UpdateAugust 22, 20257 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1205349933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP135073
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP135073 (TX)
611 W HWY 6 STE 101, Waco, TX 76710
Open in Google Maps ↗

Other Identifiers 2

Other2H4492TX · Texas Medicare Ptan
Other2H4493TX · Texas Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Srijana Dhakal Baniya Apn 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 ID2668732710
PECOS Enrollment IDI20180209000687
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 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Parkview Regional Hospital

Acute Care Hospitals · Mexia, TX
OwnershipProprietary
CMS Certification Number450400
Location600 South Bonham StreetMexia, TX 76667 · Limestone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76710 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

69.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.27
Promoting Interoperability99
Improvement Activities40
Cost31.74

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%700 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%85 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%866 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%866 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%866 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
51%866 patients
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 4

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

HING-SHEUNG EUGENE FUNG MD
Internal Medicine (Rheumatology)
611 W HWY 6 STE 101
WACO, TX 76710
McLennan County (254) 755-4582
CHRISTINA A ARMIJO FNP
Nurse Practitioner
611 W HWY 6 STE 101
WACO, TX 76710
McLennan County (254) 755-4582
WACO RHEUMATOLOGY PLLC
Internal Medicine (Rheumatology)
611 W HWY 6 STE 101
WACO, TX 76710
McLennan County (254) 755-4582
BRADLY ALEXANDER KIMBROUGH MD
Internal Medicine (Rheumatology)
611 W HWY 6 STE 101
WACO, TX 76710
McLennan County (254) 755-4582

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 Srijana Baniya's NPI number?

The NPI number for Srijana Baniya is 1205349933. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Srijana Baniya located?

Srijana Baniya practices at 611 W Hwy 6 Ste 101, Waco, TX 76710. The listed phone number is (254) 755-4582.

What is Srijana Baniya's specialty?

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

Is Srijana Baniya enrolled in Medicare?

Yes. Srijana Baniya 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 Srijana Baniya accept?

Health plans from Blue Cross and Blue Shield of Texas list Srijana Baniya 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 Srijana Baniya affiliated with any hospitals?

According to CMS data, Srijana Baniya is affiliated with Ascension Providence and Parkview Regional Hospital.

When was this NPI record last updated?

The NPPES record for Srijana Baniya was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.