Sumita Gyawali, ARNP
NPI 1356001507 · Nurse Practitioner · Ames, IA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumita Gyawali, ARNP is a Nurse Practitioner provider in Ames, IA (NPI 1356001507).
Provider details
- NPI number
- 1356001507
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- A165644 (IA)
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
78 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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 46 | $94 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 32 | $136 |
Typical Medicare-allowed amounts for these services range $94–$136 (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.
Practice location
Mailing address
Additional practice locations (1)
- 640 Lincoln WayAmes, IA 50010-6911Phone: (515) 956-4051Fax: (515) 817-1238
Registry dates
- Enumerated
- 2021-12-28
- Last updated
- 2023-02-14
- Certified
- 2023-02-14
Frequently asked questions
- What is Sumita Gyawali's NPI number?
- Sumita Gyawali's National Provider Identifier (NPI) is 1356001507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumita Gyawali's specialty?
- Sumita Gyawali is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sumita Gyawali located?
- Sumita Gyawali's practice location on file with NPPES is 2722 Somerset Dr, Ames, IA 50010-7128.
- What is Sumita Gyawali's phone number?
- The practice phone number listed in the NPPES registry for Sumita Gyawali is (206) 890-6996.
- Does Sumita Gyawali accept Medicare?
- Sumita Gyawali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumita Gyawali's NPI active?
- Yes — Sumita Gyawali's NPI (1356001507) is active in the NPPES registry as of the last update on 2023-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.