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MS. MADHURI KHADKA NP
NPI 1710591706
Nurse Practitioner in Charlotte, NC

Active since September 07, 2020PECOS EnrolledAccepts Medicare Assignment
70.05/100
CMS Quality Rating
15235 JOHN J DELANEY DR STE B, CHARLOTTE, NC 28277(704) 243-8937(704) 243-8926 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2026, Jan 30, 2026, Nov 11, 2024 and 4 more (7 updates tracked since 2020).

About Ms. Madhuri Khadka Np NPPES

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

MS. MADHURI KHADKA NP (NPI 1710591706) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5013996) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indian Land, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710591706
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MADHURI KHADKACredential: NP
Location Address15235 JOHN J DELANEY DR STE BCharlotte, NC 28277-2846
Mailing AddressPo Box 601843Charlotte, NC 28260-1843 · (704) 243-8937 · Fax (704) 243-8926
Phone(704) 243-8937
Fax(704) 243-8926
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 7, 2020
Last NPPES UpdateMarch 12, 20267 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1710591706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NC · 5013996✔ Licensed in SC · 23897
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 23897 (SC)
15235 JOHN J DELANEY DR STE B, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Location 1

Location 18384 Charlotte HwyIndian Land, SC 29707-6532 · Phone (803) 547-2426

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, First Choice Next, Oscar Health Plan, Inc..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

Ms. Madhuri Khadka 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 ID4981000783
PECOS Enrollment IDI20210902000507, I20260330000473
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

4

Medicare enrollment records show Madhuri Khadka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Medicorp Enterprises, LLC
8.8 mi
Urgent Care
445 S KINGS DR
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 117 clinicians in this Medicare group
NPI 1760950646 (980) 308-0141
Minuteclinic Diagnostic South Carolina LLC
92 mi
Family
698 FAIRVIEW RD
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1447420815 (866) 389-2727
Novant Health Urgent Cares LLC
115 mi
Urgent Care
2126 HIGHWAY 81 N
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1841026382 (999) 999-9999
Fastmed P.C.
121 mi
Family Medicine
7010 NC HIGHWAY 751
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Fastmed PC
  • 117 clinicians in this Medicare group
NPI 1629841788 (919) 313-3900

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 8

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.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
62 services55 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.
50 services44 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.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services43 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
38 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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.

70.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.22
Promoting Interoperability98
Improvement Activities40
Cost53.62

Other Providers at the Same Location NPPES 4

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

MS. MARCHELLE ISYK ALLEN PA-C
Physician Assistant
15235 JOHN J DELANEY DR STE B
CHARLOTTE, NC 28277
Mecklenburg County (704) 243-8937
MRS. NATALIE B BOST FNP-BC
Nurse Practitioner
15235 JOHN J DELANEY DR STE B
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-7300
KEITH ALLEN POCHICK M.D.
Emergency Medicine
15235 JOHN J DELANEY DR STE B
CHARLOTTE, NC 28277
Mecklenburg County (704) 243-8937
BRIAN ANTHONY WALKER DO
Family Medicine
15235 JOHN J DELANEY DR STE B
CHARLOTTE, NC 28277
Mecklenburg County (704) 243-8937

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 Madhuri Khadka's NPI number?

The NPI number for Madhuri Khadka is 1710591706. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Where is Madhuri Khadka located?

Madhuri Khadka practices at 15235 John J Delaney Dr Ste B, Charlotte, NC 28277. The listed phone number is (704) 243-8937.

What is Madhuri Khadka's specialty?

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

Is Madhuri Khadka enrolled in Medicare?

Yes. Madhuri Khadka 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 organizations bill Medicare for Madhuri Khadka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhuri Khadka reassigns Medicare benefits to 4 organizations: Carolina Medicorp Enterprises, LLC (Charlotte, NC), Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC), Novant Health Urgent Cares LLC (Anderson, SC) and Fastmed P.C. (Durham, NC). Each 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 Madhuri Khadka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhuri Khadka accept?

Health plans from Blue Cross and Blue Shield of NC, First Choice Next and Oscar Health Plan, Inc. list Madhuri Khadka 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 Madhuri Khadka was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.