Rachana Adhikari
NPI 1639412562 · Adult Health Nurse Practitioner · Pinehurst, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachana Adhikari is a Adult Health Nurse Practitioner provider in Pinehurst, NC (NPI 1639412562).
Provider details
- NPI number
- 1639412562
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041409747 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service 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
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
181 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 169 | $102 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 12 | $134 |
Typical Medicare-allowed amounts for these services range $102–$134 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carvedilol | 131 | 27 |
| Apixabanbrand: Eliquis | 118 | 29 |
| Metoprolol Succinate | 117 | 45 |
| Amlodipine Besylate | 90 | 28 |
| Lisinopril | 75 | 23 |
| Furosemide | 57 | 22 |
| Spironolactone | 56 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,307 across 70 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
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Frequently asked questions
- What is Rachana Adhikari's NPI number?
- Rachana Adhikari's National Provider Identifier (NPI) is 1639412562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachana Adhikari's specialty?
- Rachana Adhikari is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rachana Adhikari located?
- Rachana Adhikari's practice location on file with NPPES is 7 Regional Cir, Pinehurst, NC 28374-9796.
- What is Rachana Adhikari's phone number?
- The practice phone number listed in the NPPES registry for Rachana Adhikari is (910) 715-8600.
- Does Rachana Adhikari accept Medicare?
- Rachana Adhikari is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachana Adhikari's NPI active?
- Yes — Rachana Adhikari's NPI (1639412562) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.