SAPANA GURUNG
NPI 1629773882
Nurse Practitioner - Family in Flower Mound, TX

Q: What is Sapana Gurung's NPI number?

The NPI number for Sapana Gurung is 1629773882. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Sapana Gurung's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sapana Gurung was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 04, 2023PECOS EnrolledAccepts Medicare Assignment

4370 MEDICAL ARTS DR STE 295, FLOWER MOUND, TX 75028(972) 691-3777(972) 691-3666 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Apr 4, 2023 (2 updates tracked since 2023).

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About Sapana Gurung NPPES

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

SAPANA GURUNG (NPI 1629773882) is an individual family provider in Flower Mound, Texas, licensed in Texas (1114613) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629773882

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAPANA GURUNG

Location Address4370 MEDICAL ARTS DR STE 295Flower Mound, TX 75028-1742

Mailing Address950 E State Highway 114 Ste 200Southlake, TX 76092-5261 · (214) 424-2200 · Fax (214) 231-2159

Phone(972) 691-3777

Fax(972) 691-3666

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 4, 2023

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1629773882 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 TX · 1114613

4370 MEDICAL ARTS DR STE 295, Flower Mound, TX 75028

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Sapana Gurung 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 ID3870950595

PECOS Enrollment IDI20230612000099

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 Sapana Gurung reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Digestive Disease Consultants, PLLC

Same address

Gastroenterology

4370 MEDICAL ARTS DR STE 295
Flower Mound, TX 75028

Reassigned Medicare billing, Texas enrollment
575 clinicians in this Medicare group

NPI 1689650475 (972) 691-3777

Texas Health Care, P.L.L.C.

7.3 mi

Ophthalmology

2201 WESTGATE PLAZA
Grapevine, TX 76051

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Health Care PLLC
511 clinicians in this Medicare group

NPI 1164588596 (817) 410-2030

Dfw Medical Home PLLC

13 mi

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

2925 SKYWAY CIR N
Irving, TX 75038

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1124441423 (972) 675-7313

Dfw Primary Care PLLC

13 mi

Internal Medicine

2925 SKYWAY CIR N
Irving, TX 75038

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

NPI 1063835361 (972) 639-5838

Sumana Ketha, MD PA

13 mi

Internal Medicine

2925 SKYWAY CIR N
Irving, TX 75038

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1356565865 (972) 929-2270

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 6

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

206 services105 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

102 services42 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

50 services31 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

49 services49 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.

47 services47 patients

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.

37 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 6

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

DR. ABHINAV VEMULA M.D.

Internal Medicine (Gastroenterology)