Pratibha Sapkota
NPI 1326798315 · Family Nurse Practitioner · Golden, CO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratibha Sapkota is a Family Nurse Practitioner provider in Golden, CO (NPI 1326798315).
Provider details
- NPI number
- 1326798315
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 882721 (TX)
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 tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
552 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 376 | $89 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 69 | $125 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 52 | $150 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99347 | 31 | $38 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 24 | $63 |
Typical Medicare-allowed amounts for these services range $38–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Vibegronbrand: Gemtesa | 26 |
| Trazodone Hcl | 16 |
| Amlodipine Besylate | 15 |
| Tamsulosin Hcl | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-24
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Frequently asked questions
- What is Pratibha Sapkota's NPI number?
- Pratibha Sapkota's National Provider Identifier (NPI) is 1326798315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratibha Sapkota's specialty?
- Pratibha Sapkota is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pratibha Sapkota located?
- Pratibha Sapkota's practice location on file with NPPES is 5920 Mcintyre St, Golden, CO 80403-7445.
- What is Pratibha Sapkota's phone number?
- The practice phone number listed in the NPPES registry for Pratibha Sapkota is (720) 434-4876.
- Does Pratibha Sapkota accept Medicare?
- Pratibha Sapkota is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratibha Sapkota's NPI active?
- Yes — Pratibha Sapkota's NPI (1326798315) is active in the NPPES registry as of the last update on 2024-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.