KALPANA SAPKOTA NP
NPI 1851022180
Nurse Practitioner in Dallas, TX

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
411 N WASHINGTON AVE STE 6000, DALLAS, TX 75246(214) 358-2300(214) 579-6941 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2024, Oct 28, 2022 (2 updates tracked since 2022).

About Kalpana Sapkota Np NPPES

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

KALPANA SAPKOTA NP (NPI 1851022180) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1077696) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851022180
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALPANA SAPKOTACredential: NP
Location Address411 N WASHINGTON AVE STE 6000Dallas, TX 75246-1789
Mailing Address1505 Lbj Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941
Fax(214) 579-6941
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 17, 2022
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1851022180 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
License Licensed in TX · 1077696
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 · GerontologyTaxonomy 363LG0600X · License 1077696 (TX)
411 N WASHINGTON AVE STE 6000, Dallas, TX 75246

Other Identifiers 1

Other1077696TX · Tx Nursing License

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

Kalpana Sapkota 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 ID5698155240
PECOS Enrollment IDI20220629002103
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
658 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
79 services45 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
57 services21 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
55 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Nurse Practitioner
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246
Internal Medicine (Nephrology)
411 N WASHINGTON AVE STE 6000
DALLAS, TX 75246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851022180, enumerated as an "individual" on June 17, 2022.

The provider is located at 411 N WASHINGTON AVE STE 6000 DALLAS, TX 75246 and the phone number is (214) 358-2300.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.