GILDA NIKNEZHAD NP
NPI 1245330190
Nurse Practitioner - Family in Norfolk, VA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
160 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505(757) 889-5735(757) 889-5742 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gilda Niknezhad Np NPPES

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

GILDA NIKNEZHAD NP (NPI 1245330190) is an individual family provider in Norfolk, Virginia, licensed in Virginia (0024166613) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245330190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGILDA NIKNEZHADCredential: NP
Location Address160 KINGSLEY LN, SUITE 106Norfolk, VA 23505-4600
Mailing Address110 Kingsley Ln, Suite 106Norfolk, VA 23505-4614 · (757) 889-5735 · Fax (757) 889-5742
Fax(757) 889-5742
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1245330190 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
License Licensed in VA · 0024166613
160 KINGSLEY LN, Norfolk, VA 23505

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

Gilda Niknezhad 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 ID941303507
PECOS Enrollment IDI20070320000233
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.

Areas of Expertise CMS Part B claims 4

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 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.
206 services177 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
38 services11 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
32 services31 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
Percentage of patients aged 18 years and older with nonvalvular atrial fibrillation (AF) or atrial flutter who were prescribed warfarin OR another FDA- approved anticoagulant drug for the prevention of thromboembolism during the measurement period
100%41 patients5/55-star benchmark: 100%
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…
92%218 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%122 patients5/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
94%211 patients5/55-star benchmark: 88%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$36.97 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers19 claims19 services$12.76 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$6.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
160 KINGSLEY LN, STE. 400
NORFOLK, VA 23505
Pharmacist
160 KINGSLEY LN
NORFOLK, VA 23505
Obstetrics & Gynecology
160 KINGSLEY LN, SUITE 205 DEPAUL ATRIUM
NORFOLK, VA 23505
Surgery
160 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Physician Assistant
160 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Internal Medicine
160 KINGSLEY LN, SUITE 500
NORFOLK, VA 23505
Specialist
160 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Orthopaedic Surgery
160 KINGSLEY LN, SUITE 405
NORFOLK, VA 23505

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 Gilda Niknezhad's NPI number?

The NPI number for Gilda Niknezhad is 1245330190. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Gilda Niknezhad located?

Gilda Niknezhad practices at 160 Kingsley Ln Suite 106, Norfolk, VA 23505. The listed phone number is (757) 889-5735.

What is Gilda Niknezhad's specialty?

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

Is Gilda Niknezhad enrolled in Medicare?

Yes. Gilda Niknezhad 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.

When was this NPI record last updated?

The NPPES record for Gilda Niknezhad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.