Active NPI 1205349933 Individual Practitioner Female Practitioner

Srijana Dhakal Baniya , APN

Nurse Practitioner • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Srijana Baniya, APN is a certified Nurse Practitioner practicing in Waco, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Srijana Baniya delivers high-quality medical care to the local community at 611 W HWY 6 STE 101.

Srijana Baniya accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, testing for presence of drug, by chemistry analyzers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 W Hwy 6 Ste 101

Waco, TX 767107545

Telephone 2547554582

Associated Practice Facility / Clinic

🏢 Waco Rheumatology Pllc Facility NPI 1316762818

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waco, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +2.2 yrs vs City Avg

City Avg: 6.8 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

31 Specialists

Practicing in Waco, TX (4894 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baniya (9 Years) 9 Yrs

Waco Specialty Average (6.8 Years) 6.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	119	$657.00	$102.04
99213 Established patient office or other outpatient visit, typically 15 minutes	58	46	$465.00	$71.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$290.00	$45.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$850.00	$136.80
80307 Testing for presence of drug, by chemistry analyzers	12	12	$311.00	$60.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	113	$401.02	$73.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	84	$600.87	$102.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	41	$259.28	$45.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$630.67	$133.19
80305 Testing for presence of drug, read by direct observation	40	35	$44.00	$11.90
80307 Testing for presence of drug, by chemistry analyzers	29	29	$311.00	$59.16
20553 Injection of trigger points, 3 or more muscles	26	17	$255.16	$51.04
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	11	11	$783.00	$141.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	117	97	$44.00	$12.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$478.83	$137.14
99213 Established patient office or other outpatient visit, typically 15 minutes	78	54	$212.55	$75.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	39	21	$167.16	$48.36
20553 Injection of trigger points, 3 or more muscles	38	21	$185.73	$51.71
20610 Aspiration and/or injection of fluid from large joint	34	12	$185.90	$54.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$313.23	$107.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	87	$212.55	$61.93
80305 Testing for presence of drug, read by direct observation	95	92	$44.00	$12.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$478.83	$135.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$313.23	$90.03
20553 Injection of trigger points, 3 or more muscles	18	16	$185.73	$53.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	16	$167.16	$47.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	343	206	$212.55	$60.27
80305 Testing for presence of drug, read by direct observation	332	249	$44.00	$12.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$478.83	$132.69
20610 Aspiration and/or injection of fluid from large joint	26	11	$176.52	$49.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$313.23	$89.08
20553 Injection of trigger points, 3 or more muscles	17	15	$185.73	$52.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	15	$167.66	$46.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	445	218	$44.00	$13.07
99213 Established patient office or other outpatient visit, typically 15 minutes	345	212	$212.55	$58.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	146	$126.18	$35.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$313.23	$88.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	29	$175.65	$45.30
20553 Injection of trigger points, 3 or more muscles	34	28	$185.73	$47.93

Medical Specialties & State Licenses

CMS Verified: 2025-08-22

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP135073

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP135073

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Medicare Ptan

2H4492 (TX)

Commercial Insurance / Payer ID Texas Medicare Ptan

2H4493 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Hing-Sheung Fung , MD

Internal Medicine - Rheumatology

NPI 1073624292

Doctor of Medicine (M.D.)

Alice Ogden , MSN, APRN-BC, ANP

Nurse Practitioner - Adult Health

NPI 1144499914

Master of Science in Nursing, APRNBC, Adult Nurse Practitioner

Christina Armijo , FNP

Nurse Practitioner

NPI 1144684317

Family Nurse Practitioner

Neha Bandeali , FNP-C, FNP-BC

Nurse Practitioner

NPI 1649091869

Family Nurse Practitioner (Certified), Family Nurse Practitioner (Board Certified)

Dr. Bradly Kimbrough , MD

Internal Medicine - Rheumatology

NPI 1861998007

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location August 21, 2024

Registered at 611 W HWY 6 STE 101, WACO, TX 767107545 (Tel: 2547554582)

📍

Updated Business Mailing Address August 21, 2024

Registered at 611 W HWY 6 STE 101, WACO, TX 767107545 (Tel: 2547554582)

📍

Updated Business Mailing Address March 10, 2023

Registered at PO BOX 208354, DALLAS, TX 753208354 (Tel: 5124857208)

👤

Provider Name / Credentials Updated March 10, 2023

Recorded as SRIJANA BANIYA, APN

📍

Updated Practice Location September 21, 2022

Registered at 205 WOODHEW DR STE 203, WACO, TX 767126679 (Tel: 5124857200)

📍

Updated Business Mailing Address September 21, 2022

Registered at PO BOX 208357, DALLAS, TX 753208357 (Tel: 5124857208)

👤

Provider Name / Credentials Updated September 21, 2022

Recorded as SRIJANA BANIYA, FNP

✅

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2017

Registered at 405 LONDONDERRY DR, WACO, TX 767127924 (Tel: 2545376550)

📍

Updated Business Mailing Address November 16, 2017

Registered at 2709 KEATHLEY DR, LORENA, TX 766553861

👤

Provider Name / Credentials Updated November 16, 2017

Recorded as SRIJANA DHAKAL, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Nurse Practitioner (License #AP135073 in TX)

🟢

Initial NPI Registration & Enumeration November 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Srijana Baniya. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205349933

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2017

Last Update: August 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W Hwy 6 Ste 101

Waco, TX 767107545

Phone: 2547554582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.