BINITA GHIMIRE
NPI 1992380158
Nurse Practitioner - Psychiatric/Mental Health in Oklahoma City, OK
About Binita Ghimire NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BINITA GHIMIRE (NPI 1992380158) is an individual psychiatric/mental health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (201467) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Binita Ghimire 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
5Medicare enrollment records show Binita Ghimire reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73118
- Reassigned Medicare billing, Oklahoma enrollment
- 10 clinicians in this Medicare group
Oklahoma City, OK 73116
- Reassigned Medicare billing, Oklahoma enrollment
- 507 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 10 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 55 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 53 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Anthony Hospital - Oklahoma City
Acute Care Hospitals · Oklahoma City, OKSsm Health St Anthony Hospital - Midwest
Acute Care Hospitals · Midwest City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73112 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73112
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 Binita Ghimire's NPI number?
The NPI number for Binita Ghimire is 1992380158. It was assigned to this individual provider in the NPPES registry on March 9, 2021.
Where is Binita Ghimire located?
Binita Ghimire practices at 2525 NW Expressway Ste 312, Oklahoma City, OK 73112. The listed phone number is (405) 840-9999.
What is Binita Ghimire's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Binita Ghimire enrolled in Medicare?
Yes. Binita Ghimire 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 Binita Ghimire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Binita Ghimire reassigns Medicare benefits to 5 organizations: Psychplus (Oklahoma City, OK), Saints Medical Group, LLC (Oklahoma City, OK), Optimum Care Partners PLLC (Edmond, OK), Optimum Post Acute Care PLLC (Edmond, OK) and Optimum Primary Care PLLC (Edmond, OK). 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 Binita Ghimire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Binita Ghimire accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Binita Ghimire 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 Binita Ghimire affiliated with any hospitals?
According to CMS data, Binita Ghimire is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Midwest.
When was this NPI record last updated?
The NPPES record for Binita Ghimire was last updated on October 14, 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.
# Binita Ghimire · NPI 1992380158
Psychiatric/Mental Health physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since March 9, 2021.
## Identity
- **NPI:** 1992380158 (Entity type: Individual)
- **Enumerated:** March 9, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201467 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2525 NW EXPRESSWAY STE 312, Oklahoma City, OK 73112-7200
- **Phone:** (405) 840-9999
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Psychplus (NPI 1215516950, Oklahoma City, OK); Saints Medical Group, LLC (NPI 1437195922, Oklahoma City, OK); Optimum Care Partners PLLC (NPI 1912832973, Edmond, OK); Optimum Post Acute Care PLLC (NPI 1225774227, Edmond, OK); Optimum Primary Care PLLC (NPI 1760030399, Edmond, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992380158) · Data from the CMS NPPES public registry.