SUSMITA ADHIKARI APRN
NPI 1356901201
Nurse Practitioner - Family in Raleigh, NC
About Susmita Adhikari Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSMITA ADHIKARI APRN (NPI 1356901201) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5018744) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Saginaw Valley Medical College - Nlg (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Susmita Adhikari Aprn 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.
Medicare Billing Reassignments
10Medicare enrollment records show Susmita Adhikari reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27603
- Reassigned Medicare billing, North Carolina enrollment
- 213 clinicians in this Medicare group
Raleigh, NC 27612
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Erwin, NC 28339
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
High Point, NC 27262
- Reassigned Medicare billing, North Carolina enrollment
- 60 clinicians in this Medicare group
Fairfield, CT 06825
- Reassigned Medicare billing, Connecticut enrollment
- 43 clinicians in this Medicare group
Bridgeport, CT 06604
- Reassigned Medicare billing, Connecticut enrollment
- 6 clinicians in this Medicare group
Bridgeport, CT 06606
- Reassigned Medicare billing, Connecticut enrollment
- 41 clinicians in this Medicare group
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 44 clinicians in this Medicare group
Trumbull, CT 06611
- Reassigned Medicare billing, Connecticut enrollment
- 19 clinicians in this Medicare group
Shelton, CT 06824
- Reassigned Medicare billing, Connecticut enrollment
- 40 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wakemed, Raleigh Campus
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27603 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27603
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 Susmita Adhikari's NPI number?
The NPI number for Susmita Adhikari is 1356901201. It was assigned to this individual provider in the NPPES registry on June 13, 2019.
Where is Susmita Adhikari located?
Susmita Adhikari practices at 4530 Fayetteville Rd, Raleigh, NC 27603. The listed phone number is (919) 235-1930.
What is Susmita Adhikari's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susmita Adhikari enrolled in Medicare?
Yes. Susmita Adhikari 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 Susmita Adhikari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susmita Adhikari reassigns Medicare benefits to 10 organizations: Wake Specialty Physicians LLC (Raleigh, NC), Allmed Clinic PA (Raleigh, NC), Lifelink Medical Group PLLC (Erwin, NC), Drx High Point, PLLC (High Point, NC), Qmg2,llc (Fairfield, CT) and 5 more organizations, listed in the Medicare section above. 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 Susmita Adhikari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susmita Adhikari accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Susmita Adhikari 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.
Is Susmita Adhikari affiliated with any hospitals?
According to CMS data, Susmita Adhikari is affiliated with Wakemed, Raleigh Campus.
When was this NPI record last updated?
The NPPES record for Susmita Adhikari was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Susmita Adhikari, APRN · NPI 1356901201
Family physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since June 13, 2019.
## Identity
- **NPI:** 1356901201 (Entity type: Individual)
- **Enumerated:** June 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5018744 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4530 FAYETTEVILLE RD, Raleigh, NC 27603-3614
- **Phone:** (919) 235-1930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Wake Specialty Physicians LLC (NPI 1982288262, Raleigh, NC); Allmed Clinic PA (NPI 1346534419, Raleigh, NC); Lifelink Medical Group PLLC (NPI 1093104929, Erwin, NC); Drx High Point, PLLC (NPI 1669701306, High Point, NC); Qmg2,llc (NPI 1437546363, Fairfield, CT); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saginaw Valley Medical College - Nlg, class of 2018
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356901201) · Data from the CMS NPPES public registry.