NISHA KUSUM SAPKOTA
NPI 1306620901
Internal Medicine in Danville, PA
About Nisha Kusum Sapkota NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISHA KUSUM SAPKOTA (NPI 1306620901) is an individual internal medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (MD493643) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nisha Kusum Sapkota is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nisha Sapkota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Danville, PA 17821
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
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 17821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANVILLE, PA 17821
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 Nisha Sapkota's NPI number?
The NPI number for Nisha Sapkota is 1306620901. It was assigned to this individual provider in the NPPES registry on August 23, 2023.
Where is Nisha Sapkota located?
Nisha Sapkota practices at 35 Justin Dr, Danville, PA 17821. The listed phone number is (570) 271-6164.
What is Nisha Sapkota's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nisha Sapkota enrolled in Medicare?
Yes. Nisha Sapkota is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nisha Sapkota's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Sapkota reassigns Medicare benefits to Geisinger Clinic (Danville, PA). The 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 Nisha Sapkota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisha Sapkota accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nisha Sapkota 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 Nisha Sapkota was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nisha Kusum Sapkota · NPI 1306620901
Internal Medicine physician in Danville, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 23, 2023.
## Identity
- **NPI:** 1306620901 (Entity type: Individual)
- **Enumerated:** August 23, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD493643 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 35 JUSTIN DR, Danville, PA 17821-7951
- **Phone:** (570) 271-6164 · **Fax:** (570) 271-6141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Geisinger Clinic (NPI 1104953330, Danville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306620901) · Data from the CMS NPPES public registry.