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TENISHA PRADHAN NP
NPI 1366165490
Nurse Practitioner - Gerontology in Pinehurst, NC

Active since September 23, 2022PECOS EnrolledAccepts Medicare Assignment
205 RATTLESNAKE TRL, PINEHURST, NC 28374(910) 295-1781 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tenisha Pradhan Np NPPES

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

TENISHA PRADHAN NP (NPI 1366165490) is an individual gerontology provider in Pinehurst, North Carolina, licensed in North Carolina (5016935) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366165490
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTENISHA PRADHANCredential: NP
Location Address205 RATTLESNAKE TRLPinehurst, NC 28374-7639
Mailing Address2301 Wilder Cliff St Apt 107Raleigh, NC 27615-2447
Phone(910) 295-1781
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1366165490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NC · 5016935
205 RATTLESNAKE TRL, Pinehurst, NC 28374
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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

Tenisha Pradhan Np 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 ID9739559147
PECOS Enrollment IDI20221229001648
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

4

Medicare enrollment records show Tenisha Pradhan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Curana Health Of North Carolina PLLC
63 mi
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1770217176 (337) 408-0797
Physicians Eldercare PA
63 mi
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group
NPI 1023083268 (337) 991-9276
Eventus Wholehealth Aco LLC
64 mi
Geriatric Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 169 clinicians in this Medicare group
NPI 1023796307 (855) 743-2247
Theoria Medical
546 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634

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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,954 services127 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
706 services92 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
171 services87 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
127 services31 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
92 services50 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
54 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 4

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

MICHELE JOHN FERRELLI M.S. OTR/L
Occupational Therapist
205 RATTLESNAKE TRL
PINEHURST, NC 28374
Moore County (910) 295-1781
PINEHURST OPCO, LLC
Skilled Nursing Facility
205 RATTLESNAKE TRL
PINEHURST, NC 28374
Moore County (910) 295-1781
CLAIRE SILAO ESGUERRA
Physical Therapist
205 RATTLESNAKE TRL
PINEHURST, NC 28374
Moore County (910) 295-1781
MANOR CARE OF PINEHURST NC LLC
Skilled Nursing Facility
205 RATTLESNAKE TRL
PINEHURST, NC 28374
Moore County (910) 295-1781

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 Tenisha Pradhan's NPI number?

The NPI number for Tenisha Pradhan is 1366165490. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Tenisha Pradhan located?

Tenisha Pradhan practices at 205 Rattlesnake Trl, Pinehurst, NC 28374. The listed phone number is (910) 295-1781.

What is Tenisha Pradhan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tenisha Pradhan enrolled in Medicare?

Yes. Tenisha Pradhan 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 Tenisha Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tenisha Pradhan reassigns Medicare benefits to 4 organizations: Curana Health Of North Carolina PLLC (Durham, NC), Physicians Eldercare PA (Durham, NC), Eventus Wholehealth Aco LLC (Concord, NC) and Theoria Medical (Novi, MI). 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 Tenisha Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tenisha Pradhan accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Tenisha Pradhan 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 Tenisha Pradhan affiliated with any hospitals?

According to CMS data, Tenisha Pradhan is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Tenisha Pradhan was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.