NISHA SUTARIYA BHALALA
NPI 1982566212
Nurse Practitioner - Family in Charlotte, NC

Active since November 25, 2025PECOS EnrolledAccepts Medicare Assignment
9915 PARK CEDAR DR, CHARLOTTE, NC 28210(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2025, Nov 25, 2025 (2 updates tracked since 2025).

About Nisha Sutariya Bhalala NPPES

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

NISHA SUTARIYA BHALALA (NPI 1982566212) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5023537) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982566212
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNISHA SUTARIYA BHALALA
Location Address9915 PARK CEDAR DRCharlotte, NC 28210-8905
Mailing Address9915 Park Cedar DrCharlotte, NC 28210-8905 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 25, 2025
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1982566212 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 NC · 5023537
9915 PARK CEDAR DR, Charlotte, NC 28210

Secondary Practice Location 1

Location 19628 Rea RdCharlotte, NC 28277-6697 · Phone (866) 389-2727

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

Nisha Sutariya Bhalala 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 ID5294294690
PECOS Enrollment IDI20260826002969
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.

Medicare Billing Reassignment

Medicare enrollment records show Nisha Bhalala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family
2340 SPRING FOREST RD
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 290 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 28210 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.

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.

Physician Assistant
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacy
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210

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 Nisha Bhalala's NPI number?

The NPI number for Nisha Bhalala is 1982566212. It was assigned to this individual provider in the NPPES registry on November 25, 2025.

Where is Nisha Bhalala located?

Nisha Bhalala practices at 9915 Park Cedar Dr, Charlotte, NC 28210. The listed phone number is (866) 389-2727.

What is Nisha Bhalala's specialty?

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

Is Nisha Bhalala enrolled in Medicare?

Yes. Nisha Bhalala 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 organization bills Medicare for Nisha Bhalala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Bhalala reassigns Medicare benefits to Minuteclinic Diagnostic Of North Carolina PC (Raleigh, NC). The 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 Nisha Bhalala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Bhalala accept?

Health plans from Blue Cross and Blue Shield of NC list Nisha Bhalala 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 Nisha Bhalala was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.