Pratibha Sapkota

  • Newport Beach, CA
  • Family nurse practitioner
NPI1326798315PAC ID1951783471
Medicare patients, 2024
116
Part D claims, 2024
190
MIPS score, 2024
93
Affiliated sites
3
Medical groups
2
Practice address
4695 Macarthur Ct, Newport Beach, CA 92660
Practice phone
Call (310) 927-0919
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Care Connectors

Mobile Lab · Newport Beach, California

See all 5 affiliations

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Pratibha Sapkota is a family nurse practitioner in Newport Beach, California

Pratibha Sapkota practices at Care Connectors in Newport Beach, California.

Pratibha Sapkota's NPI, 1326798315, was assigned on March 24, 2022. Pratibha Sapkota holds Colorado license C-APN.0102471-C-NP.

NPI and contact details
Medicare PAC ID
1951783471
NPI enumeration date
March 24, 2022
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(310) 927-0919
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
31
Medical school graduation
2021

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Pratibha Sapkota practices at Care Connectors in Newport Beach, California

Pratibha Sapkota's primary practice is Care Connectors, at 4695 Macarthur Ct, Newport Beach, CA 92660. The practice phone is (310) 927-0919.

  • Care Connectors
    4695 Macarthur Ct, Newport Beach, CA 92660Phone(310) 927-0919

Source: Dmand AI Affiliation Data

Pratibha Sapkota is affiliated with 3 sites of care and 2 medical groups

Pratibha Sapkota's primary practice is Care Connectors in Newport Beach, California. The medical group on file is Capital Internal Medicine Associates. Dmand AI also links Pratibha Sapkota to 2 more group practices and clinics and 1 medical group, each named with a free account.

See all 5 affiliations for Pratibha Sapkota

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Pratibha Sapkota's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Pratibha Sapkota practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Care ConnectorsAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Pratibha Sapkota is one of 13,532 family nurse practitioners in California

Family is Pratibha Sapkota's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Dmand AI has Pratibha Sapkota's licenses on file in 2 states: Colorado and Texas.

Specialties and state licenses

  • Family nurse practitioner, ColoradoPrimaryLicense C-APN.0102471-C-NP · taxonomy 363LF0000X
  • Texas licenseLicense 882721

Family nurse practitioners near Pratibha Sapkota

Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Pratibha Sapkota treated 116 Medicare patients in 2024, average age 77

CMS counts 116 Medicare patients who saw Pratibha Sapkota in 2024. The largest group is 75 to 84, with 41 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 53% are also on Medicaid. Their average risk score is 2.93, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Pratibha Sapkota's median patient age at 73, with 55% women.

Medicare patients, 2024116
Average age77
Average risk score2.93
Also on Medicaid53%

Pratibha Sapkota's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Pratibha Sapkota's Medicare patients by sex, 2024

  • Women6859%
  • Men4841%

Chronic conditions among Pratibha Sapkota's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Mood disorders62%
  4. Alzheimer's and dementia56%
  5. Depression55%
  6. Diabetes53%
  7. Heart failure51%
  8. Arthritis49%

Share of Medicare patients with each condition. A patient can have several.

Pratibha Sapkota's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women55%
  • Men44%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Pratibha Sapkota wrote 190 Medicare Part D claims in 2024

In 2024, Pratibha Sapkota wrote 190 Medicare Part D claims for 45 patients. 73% of them were for generic drugs.

Part D claims, 2024190
Part D patients45

Pratibha Sapkota's Part D claims by kind of drug, 2024

  • Generic138 claims73%
  • Brand-name52 claims27%

Drug classes CMS tracks in Pratibha Sapkota's Part D claims, 2024

  • Antibiotics9%17 of 190 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

Pratibha Sapkota scored 93 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Pratibha Sapkota for performance year 2024, reported as part of a group. Pratibha Sapkota accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Pratibha Sapkota's MIPS scores, performance year 2024

  • 93of 100Final score
  • 86.7of 100Quality
  • 40of 100Improvement Activities
  • 67of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Sources for Pratibha Sapkota's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Pratibha Sapkota

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Pratibha Sapkota's NPI number?

Pratibha Sapkota's NPI number is 1326798315. It was assigned on March 24, 2022, and it is active in the NPI Registry.

What does Pratibha Sapkota specialize in?

Pratibha Sapkota is a family nurse practitioner in Newport Beach, California. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).

Where does Pratibha Sapkota practice?

Pratibha Sapkota practices at 4695 Macarthur Ct, Newport Beach, CA 92660. Pratibha Sapkota's primary practice is Care Connectors in Newport Beach, California. Dmand AI also links Pratibha Sapkota to 2 group practices and clinics and 1 medical group.

What is Pratibha Sapkota's office phone number?

The practice phone on file for Pratibha Sapkota is (310) 927-0919.

What is Pratibha Sapkota's medical license number?

Pratibha Sapkota holds Colorado license C-APN.0102471-C-NP, one of the licenses on file in 2 states.

Which states has Pratibha Sapkota been licensed in?

Dmand AI has state licenses on file for Pratibha Sapkota in Colorado and Texas.

What medical group is Pratibha Sapkota part of?

Pratibha Sapkota is linked to Capital Internal Medicine Associates. Dmand AI links Pratibha Sapkota to 1 more medical group.

Does Pratibha Sapkota accept Medicare?

Yes. CMS lists Pratibha Sapkota as accepting Medicare assignment.

What is Pratibha Sapkota's MIPS score?

Pratibha Sapkota's MIPS final score for performance year 2024 is 93 out of 100, reported as part of a group.

How many Medicare patients does Pratibha Sapkota see?

CMS counts 116 Medicare patients who saw Pratibha Sapkota in 2024, with an average age of 77.

How long has Pratibha Sapkota been practicing?

Pratibha Sapkota graduated from medical school in 2021, 5 years ago.

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