SURAJA SHRESTHA BASTOLA DNP
NPI 1407566771
Nurse Practitioner in Medford, OR
About Suraja Shrestha Bastola Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SURAJA SHRESTHA BASTOLA DNP (NPI 1407566771) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (10006717) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Suraja Shrestha Bastola Dnp 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
2Medicare enrollment records show Suraja Shrestha Bastola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salem, OR 97317
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 37 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Suraja Shrestha Bastola's NPI number?
The NPI number for Suraja Shrestha Bastola is 1407566771. It was assigned to this individual provider in the NPPES registry on November 28, 2022.
Where is Suraja Shrestha Bastola located?
Suraja Shrestha Bastola practices at 2845 Morning View Dr, Medford, OR 97504. The listed phone number is (248) 571-2787.
What is Suraja Shrestha Bastola's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Suraja Shrestha Bastola enrolled in Medicare?
Yes. Suraja Shrestha Bastola 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 Suraja Shrestha Bastola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suraja Shrestha Bastola reassigns Medicare benefits to 2 organizations: South Salem Rehabilitation, LLC (Salem, OR) and Marquis Clinical Services LLC (Milwaukie, OR). 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 Suraja Shrestha Bastola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suraja Shrestha Bastola accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Suraja Shrestha Bastola 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 Suraja Shrestha Bastola was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Suraja Shrestha Bastola, DNP · NPI 1407566771
Nurse Practitioner physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since November 28, 2022.
## Identity
- **NPI:** 1407566771 (Entity type: Individual)
- **Enumerated:** November 28, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 10006717 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2845 MORNING VIEW DR, Medford, OR 97504-5944
- **Phone:** (248) 571-2787
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR); Marquis Clinical Services LLC (NPI 1710427810, Milwaukie, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407566771) · Data from the CMS NPPES public registry.