SOFIA J UMALI-JHANJI N.P.
NPI 1396762837
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
606 WADE AVE, SUITE 100, RALEIGH, NC 27605(919) 443-2360 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sofia J Umali-jhanji N.p. NPPES

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

SOFIA J UMALI-JHANJI N.P. (NPI 1396762837) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in South Carolina (20126) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396762837
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOFIA J UMALI-JHANJICredential: N.P.
Location Address606 WADE AVE, SUITE 100Raleigh, NC 27605-1390
Mailing Address606 Wade Ave, Suite 100Raleigh, NC 27605-1390
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 22, 2016
NPI 1396762837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in SC · 20126 Licensed in NY · F400475-1
Also ListedNurse PractitionerTaxonomy 363L00000X · License 20126 (SC)
606 WADE AVE, Raleigh, NC 27605

Other Identifiers 2

Medicare UPINQ16957
Medicaid02510543NY

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

Sofia J Umali-jhanji N.p. 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 ID2264410950
PECOS Enrollment IDI20160722001178, I20161107001648
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 8

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.
1,027 services252 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.
567 services206 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
94 services92 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.
63 services37 patients
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.
61 services28 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
53 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27605 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%131 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Hospitalist
606 WADE AVE, SUITE 100
RALEIGH, NC 27605
Nurse Practitioner (Psychiatric/Mental Health)
606 WADE AVE, SUITE 100
RALEIGH, NC 27605
Psychologist
606 WADE AVE, SUITE 100
RALEIGH, NC 27605
Psychiatry & Neurology (Geriatric Psychiatry)
606 WADE AVE
RALEIGH, NC 27605
Psychologist
606 WADE AVE, SUITE 100
RALEIGH, NC 27605
Psychologist
606 WADE AVE
RALEIGH, NC 27605
Psychologist (Clinical)
606 WADE AVE, SUITE 100
RALEIGH, NC 27605

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 Sofia Umali-jhanji's NPI number?

The NPI number for Sofia Umali-jhanji is 1396762837. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sofia Umali-jhanji located?

Sofia Umali-jhanji practices at 606 Wade Ave Suite 100, Raleigh, NC 27605. The listed phone number is (919) 443-2360.

What is Sofia Umali-jhanji's specialty?

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

Is Sofia Umali-jhanji enrolled in Medicare?

Yes. Sofia Umali-jhanji 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 Sofia Umali-jhanji accept?

Health plans from BlueCross BlueShield of South Carolina list Sofia Umali-jhanji 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 Sofia Umali-jhanji was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.