NISHA BHIKA
NPI 1639632318
in Atlanta, GA


Quality Rating: 92.27 out of 100 score

NPI Status: Active since April 10, 2019

Contact Information

993 JOHNSON FY RD NE STE 210
ATLANTA, GA
ZIP 30342
Phone: (404) 256-1727
Fax: (404) 252-3591

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  • Individual
  • Female
  • PECOS Enrolled

About NISHA BHIKA

This page provides the complete NPI Profile along with additional information for Nisha Bhika, a provider established in Atlanta, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1639632318 assigned on April 2019. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1639632318
Provider Name
NISHA BHIKA
Gender
Female
Entity Type
Individual
Location Address
993 JOHNSON FY RD NE STE 210 ATLANTA, GA 30342
Location Phone
(404) 256-1727
Location Fax
(404) 252-3591
Mailing Address
993 JOHNSON FY RD NE STE 210 ATLANTA, GA 30342
Mailing Phone
(404) 256-1727
Mailing Fax
(404) 252-3591
Is Sole Proprietor?
No
Enumeration Date
04-10-2019
Last Update Date
09-20-2023
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A nurse practitioner (NP) like Nisha Bhika is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
251015
License State
GA

Medicare Participation & PECOS Enrollment Status

Nisha Bhika is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.27, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.27 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 76.1

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 94.21

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639632318
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669123432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 3 + 4 + 3 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1639632318 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

LAUREN BEXLEY FNP-C

Nurse Practitioner

(Family)

993 JOHNSON FY RD NE STE 210
ATLANTA, GA
ZIP 30342

(404) 256-1727

DR. GRACE BAUGHN KOEHLER MD

Family Medicine

993 JOHNSON FY RD NE STE 210
ATLANTA, GA
ZIP 30342

(404) 256-1727

MS. MARY HELEN SULLIVAN MSN, FNP-C

Nurse Practitioner

(Family)

993 JOHNSON FY RD NE STE 210
ATLANTA, GA
ZIP 30342

(404) 256-1727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639632318, enumerated as an "individual" on April 10, 2019.

The provider is located at 993 JOHNSON FY RD NE STE 210 ATLANTA, GA 30342 and the phone number is (404) 256-1727.

Nurse Practitioner with taxonomy code and a focus in Family.