SUSHMA MAHARJAN FNP-C
NPI 1255803441
Nurse Practitioner - Family in Baltimore, MD

Q: What is Sushma Maharjan's NPI number?

The NPI number for Sushma Maharjan is 1255803441. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Q: What is Sushma Maharjan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sushma Maharjan was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 28, 2018PECOS EnrolledAccepts Medicare Assignment

86.91/100

CMS Quality Rating

2434 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 601-9000 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2019, Dec 28, 2018 (2 updates tracked since 2018).

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About Sushma Maharjan Fnp-c NPPES

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

SUSHMA MAHARJAN FNP-C (NPI 1255803441) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R205229) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255803441

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSHMA MAHARJANCredential: FNP-C

Location Address2434 W BELVEDERE AVEBaltimore, MD 21215-5267

Mailing Address2434 W Belvedere AveBaltimore, MD 21215-5267 · (410) 601-9000

Phone(410) 601-9000

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 28, 2018

Last NPPES UpdateAugust 1, 20192 updates tracked since enumeration

✔ NPI 1255803441 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 MD · R205229

2434 W BELVEDERE AVE, Baltimore, MD 21215

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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

Sushma Maharjan Fnp-c 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 ID2264772813

PECOS Enrollment IDI20190319002271

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 10

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 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.

511 services137 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.

440 services126 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

238 services80 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.

100 services97 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

83 services65 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

50 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

86.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.86

Improvement Activities

Cost

41.63

Referred Medical Equipment & Supplies CMS DME claims 16

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers12 claims12 services$40.22 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

3 suppliers11 claims11 services$41.32 avg. paid by Medicare

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

3 suppliers32 claims32 services$6.07 avg. paid by Medicare

Dry pressure mattress E0184

DME-Other DME · category DE000N

2 suppliers15 claims15 services$129.80 avg. paid by Medicare

Hospital bed, fixed height, with any type side rails, without mattress E0251

DME-Hospital Beds · category DB000N

2 suppliers138 claims140 services$34.08 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers31 claims31 services$36.51 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.

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