NINA CHANDRA MAHAPATRA CRNP
NPI 1346713591
Nurse Practitioner in Washington, DC

Active since January 09, 2019PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 660-6500(202) 660-6501 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2024, Apr 13, 2021, Feb 4, 2021 and 4 more (7 updates tracked since 2019).

About Nina Chandra Mahapatra Crnp NPPES

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

NINA CHANDRA MAHAPATRA CRNP (NPI 1346713591) is an individual nurse practitioner in Washington, District Of Columbia, licensed in Maryland (R236215) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346713591
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNINA CHANDRA MAHAPATRACredential: CRNP
Location Address5255 LOUGHBORO RD NWWashington, DC 20016
Mailing Address5255 Loughboro Rd. Nw, Building B, Floor 1Washington, DC 20016-3370 · (202) 660-6500 · Fax (202) 660-6501
Fax(202) 660-6501
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 9, 2019
Last NPPES UpdateAugust 21, 20247 updates tracked since enumeration
NPPES CertifiedAugust 18, 2024
NPI 1346713591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R236215
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5255 LOUGHBORO RD NW, Washington, DC 20016

Accepted Insurance

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

Nina Chandra Mahapatra Crnp 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 ID9032548128
PECOS Enrollment IDI20250804002938, I20260226000614
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 3

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.

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.
156 services97 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Nina Mahapatra's NPI number?

The NPI number for Nina Mahapatra is 1346713591. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Nina Mahapatra located?

Nina Mahapatra practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 660-6500.

What is Nina Mahapatra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nina Mahapatra enrolled in Medicare?

Yes. Nina Mahapatra 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.

What insurance does Nina Mahapatra accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Nina Mahapatra 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 Nina Mahapatra was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.