RAJNI SHARMA
NPI 1376011346
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Q: What is Rajni Sharma's NPI number?

The NPI number for Rajni Sharma is 1376011346. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Q: What is Rajni Sharma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Rajni Sharma was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 08, 2018PECOS EnrolledAccepts Medicare Assignment

89.63/100

CMS Quality Rating

14904 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191(301) 423-4551 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, May 1, 2019, Nov 8, 2018 (3 updates tracked since 2018).

On this page

About Rajni Sharma NPPES

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

RAJNI SHARMA (NPI 1376011346) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024176207) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376011346

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRAJNI SHARMA

Location Address14904 JEFFERSON DAVIS HWYWoodbridge, VA 22191-3908

Mailing Address4304 Walsh WayWoodbridge, VA 22193-5767

Phone(301) 423-4551

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 8, 2018

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1376011346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024176207

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024176207 (VA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024176207 (VA)

14904 JEFFERSON DAVIS HWY, Woodbridge, VA 22191

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.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

Rajni Sharma 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 ID7810230836

PECOS Enrollment IDI20190515000475, I20190618000626

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

Medicare enrollment records show Rajni Sharma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mednovations LLC

3.2 mi

Primary Care

1712 FINANCIAL LOOP
Woodbridge, VA 22192

Reassigned Medicare billing, Virginia enrollment
5 clinicians in this Medicare group

NPI 1013402593 (571) 989-4134

Mind Care Professional Limited Liability Company

5.2 mi

Nurse Practitioner

12751 MARBLESTONE DR STE 230-1
Woodbridge, VA 22192

Reassigned Medicare billing, Virginia enrollment

NPI 1386437465 (571) 402-4251

Psychogeriatric Services LLC

46 mi

Psychiatry

10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044

Reassigned Medicare billing, District of Columbia and Virginia enrollments
200 clinicians in this Medicare group

NPI 1588689483 (301) 593-1315

Mental Health Specialty Group PA

203 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Virginia enrollment
128 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

Grow Healthcare Group PA

902 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, District of Columbia enrollment
1,424 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 12

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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

777 services124 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

565 services100 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

374 services28 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

320 services27 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

190 services60 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

189 services16 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.

158 services109 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

143 services141 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

69 services40 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

36 services36 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

33 services26 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22191 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

89.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.03

Improvement Activities

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.

ALI JADIDI MD

Emergency Medicine

14904 JEFFERSON DAVIS HWY, SUITE 207
WOODBRIDGE, VA 22191

Prince William County (703) 492-1400

WOODBRIDGE INFERTILITY INSTITUTE

Clinic/Center

14904 JEFFERSON DAVIS HWY, DAVIS HIGHWAY
WOODBRIDGE, VA 22191

Prince William County (703) 494-0064

ARTHRITIS CARE CENTER PC

Internal Medicine (Rheumatology)

14904 JEFFERSON DAVIS HWY, SUITE 203
WOODBRIDGE, VA 22191

Prince William County (703) 492-6660

CARDIOVASCULAR CARE CENTER LLC

Internal Medicine (Cardiovascular Disease)

14904 JEFFERSON DAVIS HWY, 406
WOODBRIDGE, VA 22191

Prince William County (703) 492-0709

AARON FIGLER, O.D., & ASSOCIATES, P.C.

Optometrist

14904 JEFFERSON DAVIS HWY, STE 308
WOODBRIDGE, VA 22191

Prince William County (703) 494-3937

MOHAMMAD BAHADORI M.D.

Internal Medicine (Rheumatology)

14904 JEFFERSON DAVIS HWY, SUITE 203
WOODBRIDGE, VA 22191

Prince William County (703) 492-6660

PRIME WELLNESS CLINIC LLC

Clinic/Center (Primary Care)

14904 JEFFERSON DAVIS HWY, SUITE 305
WOODBRIDGE, VA 22191

Prince William County (571) 492-7702

EXCEL MEDICAL CLINIC, INC.

Clinic/Center (Primary Care)

14904 JEFFERSON DAVIS HWY, SUITE 205
WOODBRIDGE, VA 22191

Prince William County (703) 497-4500

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 Rajni Sharma's NPI number?

The NPI number for Rajni Sharma is 1376011346. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Rajni Sharma located?

Rajni Sharma practices at 14904 Jefferson Davis Hwy, Woodbridge, VA 22191. The listed phone number is (301) 423-4551.

What is Rajni Sharma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rajni Sharma enrolled in Medicare?

Yes. Rajni Sharma 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 Rajni Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajni Sharma reassigns Medicare benefits to 5 organizations: Mednovations LLC (Woodbridge, VA), Mind Care Professional Limited Liability Company (Woodbridge, VA), Psychogeriatric Services LLC (Columbia, MD), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). 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 Rajni Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajni Sharma accept?

Health plans from Oscar Health and UnitedHealthcare list Rajni Sharma 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 Rajni Sharma was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.