PRATIBHA NIGAM APRN CNP
NPI 1750663993
Nurse Practitioner - Family in Dayton, OH
About Pratibha Nigam Aprn Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATIBHA NIGAM APRN CNP (NPI 1750663993) is an individual family provider in Dayton, Ohio, licensed in Ohio (0031824) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beavercreek, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Pratibha Nigam Aprn Cnp 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 Reassignments
10Medicare enrollment records show Pratibha Nigam reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carlisle, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 11 clinicians in this Medicare group
Cincinnati, OH 45231
- Reassigned Medicare billing, Ohio enrollment
- 537 clinicians in this Medicare group
Cincinnati, OH 45230
- Reassigned Medicare billing, Ohio enrollment
- 329 clinicians in this Medicare group
Youngstown, OH 44505
- Reassigned Medicare billing, Ohio enrollment
- 48 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Ohio enrollment
- 672 clinicians in this Medicare group
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 75 clinicians in this Medicare group
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Arizona, Connecticut, Florida, Iowa, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nebraska, New Mexico, Nevada, Ohio, South Carolina, Texas and Wisconsin enrollments
- 17 clinicians in this Medicare group
Bothell, WA 98021
- Reassigned Medicare billing, Washington enrollment
- 207 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45415 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45415
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 Pratibha Nigam's NPI number?
The NPI number for Pratibha Nigam is 1750663993. It was assigned to this individual provider in the NPPES registry on September 14, 2011.
Where is Pratibha Nigam located?
Pratibha Nigam practices at 5915 N Main St, Dayton, OH 45415. The listed phone number is (937) 278-3826.
What is Pratibha Nigam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pratibha Nigam enrolled in Medicare?
Yes. Pratibha Nigam 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 Pratibha Nigam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Nigam reassigns Medicare benefits to 10 organizations: Wellness Urgent Care LLC (Carlisle, OH), The Little Clinic Of Ohio LLC (Cincinnati, OH), Cg Medical Associates Inc (Cincinnati, OH), Quick Med Urgent Care LLC (Youngstown, OH), Signify Health, LLC (Dallas, TX) and 5 more organizations, listed in the Medicare section above. 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 Pratibha Nigam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pratibha Nigam accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Pratibha Nigam 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 Pratibha Nigam was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Pratibha Nigam, APRN CNP · NPI 1750663993
Family physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since September 14, 2011.
## Identity
- **NPI:** 1750663993 (Entity type: Individual)
- **Enumerated:** September 14, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0031824 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5915 N MAIN ST, Dayton, OH 45415-3104
- **Phone:** (937) 278-3826
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): Wellness Urgent Care LLC (NPI 1609588326, Carlisle, OH); The Little Clinic Of Ohio LLC (NPI 1982761896, Cincinnati, OH); Cg Medical Associates Inc (NPI 1982903951, Cincinnati, OH); Quick Med Urgent Care LLC (NPI 1528528726, Youngstown, OH); Signify Health, LLC (NPI 1689158487, Dallas, TX); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750663993) · Data from the CMS NPPES public registry.