NEERJA SETHI NP
NPI 1649390709
Nurse Practitioner in Gilbert, AZ

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
459 N GILBERT RD, SUITE D-160, GILBERT, AZ 85234(480) 539-8680(480) 539-1763 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neerja Sethi Np NPPES

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

NEERJA SETHI NP (NPI 1649390709) is an individual nurse practitioner in Gilbert, Arizona, licensed in Arizona (RN119900) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649390709
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNEERJA SETHICredential: NP
Location Address459 N GILBERT RD, SUITE D-160Gilbert, AZ 85234-4591
Mailing Address459 N Gilbert Rd, Suite D-160Gilbert, AZ 85234-4591 · (480) 539-8680 · Fax (480) 539-1763
Fax(480) 539-1763
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649390709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · RN119900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
459 N GILBERT RD, Gilbert, AZ 85234

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

Neerja Sethi Np 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 ID2769671890
PECOS Enrollment IDI20110105000681
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers26 claims56 services$5.54 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$27.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
459 N GILBERT RD, SUITE D-160
GILBERT, AZ 85234
Psychiatry & Neurology (Psychiatry)
459 N GILBERT RD
GILBERT, AZ 85234
Preferred Provider Organization
459 N GILBERT RD, SUITE C-120
GILBERT, AZ 85234
Counselor (Addiction (Substance Use Disorder))
459 N GILBERT RD, SUITE B140
GILBERT, AZ 85234
Home Health
459 N GILBERT RD, SUITE C120
GILBERT, AZ 85234
Speech-Language Pathologist
459 N GILBERT RD
GILBERT, AZ 85234

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 Neerja Sethi's NPI number?

The NPI number for Neerja Sethi is 1649390709. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Neerja Sethi located?

Neerja Sethi practices at 459 N Gilbert Rd Suite D-160, Gilbert, AZ 85234. The listed phone number is (480) 539-8680.

What is Neerja Sethi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Neerja Sethi enrolled in Medicare?

Yes. Neerja Sethi 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 Neerja Sethi accept?

Health plans from Imperial Insurance Companies, Inc. and UnitedHealthcare list Neerja Sethi 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 Neerja Sethi was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.