RACHANA ADHIKARI
NPI 1639412562
Nurse Practitioner - Adult Health in Pinehurst, NC
About Rachana Adhikari NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHANA ADHIKARI (NPI 1639412562) is an individual adult health provider in Pinehurst, North Carolina, licensed in North Carolina (5014551) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (2013).
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
Rachana Adhikari 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 Reassignment
Medicare enrollment records show Rachana Adhikari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 56 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Firsthealth Moore Regional Hospital
Acute Care Hospitals · Pinehurst, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PINEHURST, NC 28374
PINEHURST, NC 28374
PINEHURST, NC 28374
PINEHURST, NC 28374
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 Rachana Adhikari's NPI number?
The NPI number for Rachana Adhikari is 1639412562. It was assigned to this individual provider in the NPPES registry on March 28, 2013.
Where is Rachana Adhikari located?
Rachana Adhikari practices at 7 Regional Cir, Pinehurst, NC 28374. The listed phone number is (910) 715-8600.
What is Rachana Adhikari's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Rachana Adhikari enrolled in Medicare?
Yes. Rachana Adhikari 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 organization bills Medicare for Rachana Adhikari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachana Adhikari reassigns Medicare benefits to Mcpc-5, LLC (Pinehurst, NC). The 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 Rachana Adhikari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachana Adhikari accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Rachana Adhikari 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.
Is Rachana Adhikari affiliated with any hospitals?
According to CMS data, Rachana Adhikari is affiliated with Firsthealth Moore Regional Hospital.
When was this NPI record last updated?
The NPPES record for Rachana Adhikari was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Rachana Adhikari · NPI 1639412562
Adult Health physician in Pinehurst, North Carolina. Individual provider, active in the CMS NPPES registry since March 28, 2013.
## Identity
- **NPI:** 1639412562 (Entity type: Individual)
- **Enumerated:** March 28, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5014551 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 REGIONAL CIR, Pinehurst, NC 28374-9796
- **Phone:** (910) 715-8600 · **Fax:** (910) 715-8675
## 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:** Mcpc-5, LLC (NPI 1689944514, Pinehurst, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639412562) · Data from the CMS NPPES public registry.