Nirmala Dhungana, FNP
NPI 1053905950 · Family Nurse Practitioner · Hampton, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirmala Dhungana, FNP is a Family Nurse Practitioner provider in Hampton, VA (NPI 1053905950).
Provider details
- NPI number
- 1053905950
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024187091 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
126 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $56 |
| Pelvic Exam99459 | 44 | $19 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 29 | $82 |
Typical Medicare-allowed amounts for these services range $19–$82 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$88 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 9140 Guilbeau RdSan Antonio, TX 78250-3080Phone: (210) 520-5183
- 12100 Warwick Blvd Ste 202Newport News, VA 23601-2365Phone: (757) 594-4198
Registry dates
- Enumerated
- 2021-02-22
- Last updated
- 2024-03-12
- Certified
- 2024-03-12
Frequently asked questions
- What is Nirmala Dhungana's NPI number?
- Nirmala Dhungana's National Provider Identifier (NPI) is 1053905950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nirmala Dhungana's specialty?
- Nirmala Dhungana is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nirmala Dhungana located?
- Nirmala Dhungana's practice location on file with NPPES is 2315 W Mercury Blvd, Hampton, VA 23666-3114.
- What is Nirmala Dhungana's phone number?
- The practice phone number listed in the NPPES registry for Nirmala Dhungana is (757) 262-1227.
- Does Nirmala Dhungana accept Medicare?
- Nirmala Dhungana is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nirmala Dhungana's NPI active?
- Yes — Nirmala Dhungana's NPI (1053905950) is active in the NPPES registry as of the last update on 2024-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.