RACHANA ADHIKARI
NPI 1639412562
Nurse Practitioner - Adult Health in Pinehurst, NC

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
85.99/100
CMS Quality Rating
7 REGIONAL CIR, PINEHURST, NC 28374(910) 715-8600(910) 715-8675 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2021, Aug 4, 2021 (2 updates tracked since 2021).

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

NPI1639412562
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRACHANA ADHIKARI
Location Address7 REGIONAL CIRPinehurst, NC 28374-9796
Mailing Address7 Regional CirPinehurst, NC 28374-9796 · (910) 715-5860 · Fax (910) 715-8675
Fax(910) 715-8675
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
NPI 1639412562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NC · 5014551 Licensed in IL · 209010388
Also ListedRegistered NurseTaxonomy 163W00000X · License 041409747 (IL)
7 REGIONAL CIR, Pinehurst, NC 28374

Accepted Insurance

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

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.

PECOS PAC ID9032357769
PECOS Enrollment IDI20210811002807
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 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.

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.
169 services129 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

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, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.94
Promoting Interoperability83
Improvement Activities40
Cost94.44

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.

Internal Medicine (Cardiovascular Disease)
7 REGIONAL CIR
PINEHURST, NC 28374
Nurse Practitioner (Family)
7 REGIONAL CIR
PINEHURST, NC 28374
Nurse Practitioner (Acute Care)
7 REGIONAL CIR
PINEHURST, NC 28374
Physician Assistant
7 REGIONAL CIR
PINEHURST, NC 28374
Internal Medicine (Cardiovascular Disease)
7 REGIONAL CIR
PINEHURST, NC 28374
Internal Medicine (Interventional Cardiology)
7 REGIONAL CIR
PINEHURST, NC 28374
Internal Medicine (Interventional Cardiology)
7 REGIONAL CIR
PINEHURST, NC 28374
Nurse Practitioner (Family)
7 REGIONAL CIR
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.

What insurance does Rachana Adhikari accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare 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 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.