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ANUSHA SAPAN KAPADIA FNP
NPI 1851803829
Nurse Practitioner - Family in Mooresville, NC

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
170 MEDICAL PARK RD, STE 140A, MOORESVILLE, NC 28117(704) 663-4443 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 38 more (41 updates tracked since 2017).

About Anusha Sapan Kapadia Fnp NPPES

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

ANUSHA SAPAN KAPADIA FNP (NPI 1851803829) is an individual family provider in Mooresville, North Carolina, licensed in North Carolina (5010089) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851803829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANUSHA SAPAN KAPADIACredential: FNP
Location Address170 MEDICAL PARK RD, STE 140AMooresville, NC 28117-8540
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 663-4443
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 31, 2017
Last NPPES UpdateJuly 15, 202441 updates tracked since enumeration
✔ NPI 1851803829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5010089
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5010089 (NC)
170 MEDICAL PARK RD, Mooresville, NC 28117
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Anusha Sapan Kapadia 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 ID2668733437
PECOS Enrollment IDI20180220000352
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 7

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.

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.
89 services66 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.
84 services73 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services13 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 235-2580
LAILA NOOR MENON M.D.
Internal Medicine (Gastroenterology)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 664-9506
PATRICK L. FRY MD
Internal Medicine
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Iredell County (704) 663-4443
WILLIAM JOHN EDMISTON JR. MD
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Iredell County (704) 360-4378
JOHN MICHAEL LESHER MD
Physical Medicine & Rehabilitation
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 664-9506
PAULA GLOVER HARRIS FNP
Nurse Practitioner (Family)
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Iredell County (704) 663-4443
LAKE NORMAN HEMATOLOGY AND ONCOLOGY SPECIALISTS PA
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Iredell County (704) 799-3946
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Iredell County (704) 660-4480

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 Anusha Kapadia's NPI number?

The NPI number for Anusha Kapadia is 1851803829. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Anusha Kapadia located?

Anusha Kapadia practices at 170 Medical Park Rd Ste 140A, Mooresville, NC 28117. The listed phone number is (704) 663-4443.

What is Anusha Kapadia's specialty?

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

Is Anusha Kapadia enrolled in Medicare?

Yes. Anusha Kapadia 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 Anusha Kapadia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Anusha Kapadia 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.

Is Anusha Kapadia affiliated with any hospitals?

According to CMS data, Anusha Kapadia is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Anusha Kapadia was last updated on July 15, 2024. 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.