PRATIMA THAPALIYA
NPI 1255291175
Nurse Practitioner - Family in Rochester, MN

Active since November 13, 2025PECOS EnrolledAccepts Medicare Assignment
859 30TH AVE SE, ROCHESTER, MN 55904(507) 457-5000 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pratima Thapaliya NPPES

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

PRATIMA THAPALIYA (NPI 1255291175) is an individual family provider in Rochester, Minnesota, licensed in Minnesota (13249) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255291175
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRATIMA THAPALIYA
Location Address859 30TH AVE SERochester, MN 55904-4915
Mailing Address859 30th Ave SeRochester, MN 55904-4915 · (507) 457-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
NPI 1255291175 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 MN · 13249
859 30TH AVE SE, Rochester, MN 55904

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

Pratima Thapaliya 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 ID8729559398
PECOS Enrollment IDI20260604000834
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55904 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
859 30TH AVE SE
ROCHESTER, MN 55904
Counselor
859 30TH AVE SE
ROCHESTER, MN 55904

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 Pratima Thapaliya's NPI number?

The NPI number for Pratima Thapaliya is 1255291175. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Pratima Thapaliya located?

Pratima Thapaliya practices at 859 30th Ave SE, Rochester, MN 55904. The listed phone number is (507) 457-5000.

What is Pratima Thapaliya's specialty?

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

Is Pratima Thapaliya enrolled in Medicare?

Yes. Pratima Thapaliya 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 Pratima Thapaliya was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.