MRS. NILIMA SHRESTHA NP-C
NPI 1457714693
Nurse Practitioner - Family in Frederick, MD

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
194 THOMAS JOHNSON DR, FREDERICK, MD 21702(240) 215-6310 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nilima Shrestha Np-c NPPES

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

MRS. NILIMA SHRESTHA NP-C (NPI 1457714693) is an individual family provider in Frederick, Maryland, licensed in Maryland (R194768) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1457714693
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NILIMA SHRESTHACredential: NP-C
Location Address194 THOMAS JOHNSON DRFrederick, MD 21702-4679
Mailing AddressPo Box 37086Baltimore, MD 21297-3086 · (240) 439-8913
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 4, 2016
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1457714693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R194768
194 THOMAS JOHNSON DR, Frederick, MD 21702

Secondary Practice Location 1

Location 15100 Buckeystown Pike, Suite 186Frederick, MD 21704-8336 · Phone (301) 682-8888

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

Mrs. Nilima Shrestha Np-c 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 ID8123327574
PECOS Enrollment IDI20160506000102
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
356 services205 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services60 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 20

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

Clinic/Center (Rehabilitation)
194 THOMAS JOHNSON DR, SUITE B
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Nurse Practitioner (Family)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Internal Medicine (Gastroenterology)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Internal Medicine (Hematology)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

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 Nilima Shrestha's NPI number?

The NPI number for Nilima Shrestha is 1457714693. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Nilima Shrestha located?

Nilima Shrestha practices at 194 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (240) 215-6310.

What is Nilima Shrestha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nilima Shrestha enrolled in Medicare?

Yes. Nilima Shrestha 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.

Is Nilima Shrestha affiliated with any hospitals?

According to CMS data, Nilima Shrestha is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Nilima Shrestha was last updated on December 14, 2021. 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.