MS. PRABINA SHRESTHA MD
NPI 1346816741
Family Medicine in Midland, MI

Active since May 27, 2021PECOS EnrolledAccepts Medicare Assignment
4611 CAMPUS RIDGE DR, MIDLAND, MI 48640(844) 832-1956 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Prabina Shrestha Md NPPES

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

MS. PRABINA SHRESTHA MD (NPI 1346816741) is an individual family medicine provider in Midland, Michigan, licensed in Michigan (4351048581) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346816741
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. PRABINA SHRESTHACredential: MD
Location Address4611 CAMPUS RIDGE DRMidland, MI 48640-9533
Mailing Address4000 Wellness Drive Christine BuildingMidland, MI 48670-0001 · (844) 832-1956
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2021
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1346816741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4351048581
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4611 CAMPUS RIDGE DR, Midland, MI 48640

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

Ms. Prabina Shrestha Md 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 ID5799185849
PECOS Enrollment IDI20241111000961
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 48640 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$19.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$105.98 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.

Social Worker (Clinical)
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Family Medicine
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Family Medicine
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Family Medicine
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Family Medicine
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Family Medicine
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Community Health Worker
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640
Family Medicine
4611 CAMPUS RIDGE DR
MIDLAND, MI 48640

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 Prabina Shrestha's NPI number?

The NPI number for Prabina Shrestha is 1346816741. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Prabina Shrestha located?

Prabina Shrestha practices at 4611 Campus Ridge Dr, Midland, MI 48640. The listed phone number is (844) 832-1956.

What is Prabina Shrestha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prabina Shrestha enrolled in Medicare?

Yes. Prabina Shrestha 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 Prabina Shrestha was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.