NINA MARY VARUGHESE NURSE PRACTITIONER
NPI 1942674510
Nurse Practitioner - Family in Lewes, DE
About Nina Mary Varughese Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINA MARY VARUGHESE NURSE PRACTITIONER (NPI 1942674510) is an individual family provider in Lewes, Delaware, licensed in Texas (AP127745) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Nina Mary Varughese Nurse Practitioner 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
2Medicare enrollment records show Nina Varughese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 46 clinicians in this Medicare group
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- Medicare enrollment name: Delaware Cardiovascular Associates, PA
- 18 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19958 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWES, DE 19958
LEWES, DE 19958
LEWES, DE 19958
LEWES, DE 19958
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 Nina Varughese's NPI number?
The NPI number for Nina Varughese is 1942674510. It was assigned to this individual provider in the NPPES registry on November 19, 2015.
Where is Nina Varughese located?
Nina Varughese practices at 34453 King Street Row, Lewes, DE 19958. The listed phone number is (302) 644-7676.
What is Nina Varughese's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nina Varughese enrolled in Medicare?
Yes. Nina Varughese 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 Nina Varughese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nina Varughese reassigns Medicare benefits to 2 organizations: Cardiology Physicians, LLC (Newark, DE) and Delaware Cardiovascular Associates, P.A. (Wilmington, DE). 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 Nina Varughese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nina Varughese accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Nina Varughese 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 Nina Varughese was last updated on April 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Nina Mary Varughese, NURSE PRACTITIONER · NPI 1942674510
Family physician in Lewes, Delaware. Individual provider, active in the CMS NPPES registry since November 19, 2015.
## Identity
- **NPI:** 1942674510 (Entity type: Individual)
- **Enumerated:** November 19, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP127745 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 34453 KING STREET ROW, Lewes, DE 19958-4787
- **Phone:** (302) 644-7676
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Cardiology Physicians, LLC (NPI 1952338212, Newark, DE); Delaware Cardiovascular Associates, P.A. (NPI 1073567418, Wilmington, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 30, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1942674510) · Data from the CMS NPPES public registry.