Tenisha Pradhan, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5016935 Issued in NC

Practice address

205 Rattlesnake TRL
Pinehurst, NC 28374-7639

Phone

(910) 295-1781

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians

Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care, LLC Home health agency, Wendell, NC, CCN 347239
• Hospice of the Piedmont Inc Hospice, High Point, NC, CCN 341511
• Rex Hospital Hospital, Raleigh, NC, CCN 340114

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Curana Health of North Carolina PLLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1770217176

  NC

  Medicare reassignment Care Compare group NPD
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268

  NC

  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth Aco LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Concord, NC
  • NPI 1023796307

  NC, Nurse Practitioner

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC

  Medicare reassignment
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658
  NPD
• Theoria Medical

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice of the Piedmont, Inc.

  • Community Based Hospice Care Agency
  • High Point, NC
  • NPI 1225017759

  Hospice

  Care Compare affiliation
• Liberty Healthcare Group, LLC

  • Home Health Agency
  • Raleigh, NC
  • NPI 1093761025
  Care Compare affiliation
• Rex Hospital Inc.

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1366165490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WILDER CLIFF ST APT 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RATTLESNAKE TRL",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747639",
            "telephone_number": "910-295-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "TENISHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5016935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meradith Porter, DO
• Carly Ann Portincasa
• Jonathon Peter Portincasa, CRNA
• Possibilities Therapy PLLC
• Powerback Rehabilitation LLC
• Mason Taylor Pratt, DC
• Tracy Marie Pratt
• Premier Foot & Ankle PLLC
• Prescription Shoppe
• Alysia B Preslar, CRNA

• All providers in Pinehurst, NC
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.