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TRISHA SEMBHI FNP
NPI 1265838932
Nurse Practitioner - Family in Bethlehem, PA

Active since November 07, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5325 NORTHGATE DRIVE, STE 205, BETHLEHEM, PA 18017(610) 936-8050(610) 936-8051 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2025, Aug 6, 2021, Jun 21, 2019 and 2 more (5 updates tracked since 2017).

About Trisha Sembhi Fnp NPPES

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

TRISHA SEMBHI FNP (NPI 1265838932) is an individual family provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (SP016264) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265838932
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRISHA SEMBHICredential: FNP
Location Address5325 NORTHGATE DRIVE, STE 205Bethlehem, PA 18017-9416
Mailing Address8 Brookhill Square SouthSugarloaf, PA 18249-1010 · (570) 459-0029 · Fax (570) 454-5757
Phone(610) 936-8050
Fax(610) 936-8051
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 7, 2014
Last NPPES UpdateJune 11, 20255 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1265838932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP016264✔ Licensed in NJ · 26NJ00915300
Also ListedDermatologyTaxonomy 207N00000X · License 26NJ00915300 (NJ)
5325 NORTHGATE DRIVE, Bethlehem, PA 18017
Open in Google Maps ↗

Other Names 1

Former Name (1)Trisha Gill Fnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trisha Sembhi Fnp 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 ID1052620382
PECOS Enrollment IDI20161203000018
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

2

Medicare enrollment records show Trisha Sembhi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Pain Specialists PC
2.8 mi
Interventional Pain Medicine
4250 FRITCH DR
Bethlehem, PA 18020
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 13 clinicians in this Medicare group
NPI 1972557023 (610) 954-9040
Dermdox Dermatology Centers PC
42 mi
Dermatology
8 BROOKHILL SQUARE SOUTH, 2A
Sugarloaf, PA 18249
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group
NPI 1245693936 (570) 459-0029

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18017 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%64 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
22%2,842 patients1/55-star benchmark: 100%
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.
99%4,214 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
95%62 patients4/55-star benchmark: 98%
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.
14%1,683 patients1/55-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.
72%2,775 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%364 patients3/55-star benchmark: 95%
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…
71%2,775 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%426 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

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

DR. BRIAN PRENTICE BURLEW MD
Internal Medicine (Pulmonary Disease)
5325 NORTHGATE DRIVE, SUITE 209
BETHLEHEM, PA 18017
Northampton County (610) 625-8898

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 Trisha Sembhi's NPI number?

The NPI number for Trisha Sembhi is 1265838932. It was assigned to this individual provider in the NPPES registry on November 7, 2014. The provider is also known as Trisha Gill Fnp-Bc.

Where is Trisha Sembhi located?

Trisha Sembhi practices at 5325 Northgate Drive Ste 205, Bethlehem, PA 18017. The listed phone number is (610) 936-8050.

What is Trisha Sembhi's specialty?

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

Is Trisha Sembhi enrolled in Medicare?

Yes. Trisha Sembhi 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.

Which organizations bill Medicare for Trisha Sembhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trisha Sembhi reassigns Medicare benefits to 2 organizations: Valley Pain Specialists PC (Bethlehem, PA) and Dermdox Dermatology Centers PC (Sugarloaf, PA). 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 Trisha Sembhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trisha Sembhi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Trisha Sembhi 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 Trisha Sembhi was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.