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MONICA GUPTA PMHNP-BC
NPI 1497436646
Nurse Practitioner - Psychiatric/Mental Health in Shelby, OH

Active since July 31, 2023PECOS Enrolled
24 E WHITNEY AVE, SHELBY, OH 44875(419) 564-4667 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monica Gupta Pmhnp-bc NPPES

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

MONICA GUPTA PMHNP-BC (NPI 1497436646) is an individual psychiatric/mental health provider in Shelby, Ohio, licensed in Ohio (APRN.CNP.0034475) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497436646
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMONICA GUPTACredential: PMHNP-BC
Location Address24 E WHITNEY AVEShelby, OH 44875-1282
Mailing Address5746 Glendavon PlDublin, OH 43016-6158 · (734) 678-4607
Phone(419) 564-4667
Sole ProprietorNo
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1497436646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0034475
24 E WHITNEY AVE, Shelby, OH 44875
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Gupta Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Monica Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
12 mi
Psychiatry
341 CLINE AVE STE 1
Mansfield, OH 44907
  • Reassigned Medicare billing, Ohio enrollment
NPI 1336495258 (419) 564-4667
Psychiatric Services And Tms Center LLC
67 mi
Psychiatry
5536 HILLIARD ROME OFFICE PARK
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
NPI 1891431821 (585) 705-5226

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 44875 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

ALLISON MCNARY LSW
Social Worker (Clinical)
24 E WHITNEY AVE
SHELBY, OH 44875
Richland County (567) 292-9211
JAMIE LINN LADD NP-C
Nurse Practitioner (Family)
24 E WHITNEY AVE
SHELBY, OH 44875
Richland County (567) 247-0872
KEUNSUN LEW MD INC
Radiology (Diagnostic Radiology)
24 E WHITNEY AVE
SHELBY, OH 44875
Richland County (419) 281-4959
DR. SUDHIR K SINHA MD
Internal Medicine
24 E WHITNEY AVE
SHELBY, OH 44875
Richland County (419) 347-2525
DR. MEGAN LYNN OBERHAUSER DO
Internal Medicine
24 E WHITNEY AVE
SHELBY, OH 44875
Richland County (567) 247-0881

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 Monica Gupta's NPI number?

The NPI number for Monica Gupta is 1497436646. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Monica Gupta located?

Monica Gupta practices at 24 E Whitney Ave, Shelby, OH 44875. The listed phone number is (419) 564-4667.

What is Monica Gupta's specialty?

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

Is Monica Gupta enrolled in Medicare?

Yes. Monica Gupta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Gupta reassigns Medicare benefits to 2 organizations: (Mansfield, OH) and Psychiatric Services And Tms Center LLC (Hilliard, OH). 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 Monica Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Gupta accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Monica Gupta 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 Monica Gupta was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.