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SUSHILA THAPA FNP
NPI 1801679543
Nurse Practitioner - Family in Noblesville, IN

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
7235 RIVERWALK WAY N, NOBLESVILLE, IN 46062(317) 770-0011 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sushila Thapa Fnp NPPES

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

SUSHILA THAPA FNP (NPI 1801679543) is an individual family provider in Noblesville, Indiana, licensed in Indiana (28221434A) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801679543
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSHILA THAPACredential: FNP
Location Address7235 RIVERWALK WAY NNoblesville, IN 46062-7001
Mailing Address6330 Quadrangle Dr Ste 500Chapel Hill, NC 27517-8281 · (844) 932-5700
Phone(317) 770-0011
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1801679543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28221434A
7235 RIVERWALK WAY N, Noblesville, IN 46062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sushila Thapa Fnp 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 ID3971959693
PECOS Enrollment IDI20231031003211
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 10

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
372 services225 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
259 services93 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
172 services70 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
164 services98 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
137 services85 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
92 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46062 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 2

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

NICHOLE PFLUMM
Physical Therapy Assistant
7235 RIVERWALK WAY N
NOBLESVILLE, IN 46062
Hamilton County (317) 214-4307
KRISTIN CANNON OTR
Occupational Therapist
7235 RIVERWALK WAY N
NOBLESVILLE, IN 46062
Hamilton County (317) 214-4307

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 Sushila Thapa's NPI number?

The NPI number for Sushila Thapa is 1801679543. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Sushila Thapa located?

Sushila Thapa practices at 7235 Riverwalk Way N, Noblesville, IN 46062. The listed phone number is (317) 770-0011.

What is Sushila Thapa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sushila Thapa enrolled in Medicare?

Yes. Sushila Thapa 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 Sushila Thapa accept?

Health plans from CareSource list Sushila Thapa 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 Sushila Thapa was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.