Provider profile

Susmita AdhikariAPRN

Nurse Practitioner, Family

NPI 1356901201
4530 Fayetteville Rd, Raleigh, NC 27603919-235-1930

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Medicare Advantage plans for Wake County, NC.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 58 Medicare Advantage plans we show for Wake County, NC in 2027

  • 40 list Susmita
  • 18 not listed

UnitedHealthcare

12 plans list Susmita.

12plans
  • AARP Medicare Advantage from UHC NC-0007 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-039-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC NC-0017 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-098-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC NC-15 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-117-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-110-000Medicare.gov
    $0a month

Blue Cross and Blue Shield of North Carolina

7 plans list Susmita.

7plans
  • Blue Medicare Essential (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 7750 Ten Ten Rd, Raleigh, NC, 27603
    • 16126 NC Highway 50 N, Garner, NC, 27529
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612
    • 1100 NW Maynard Rd, Ste 110, Cary, NC, 27513
    • 6800 Glenwood Ave, Raleigh, NC, 27612
    • 815 Springfield Commons Dr, Raleigh, NC, 27609
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520
    • 7851 Alexander Promenade Pl, Ste 130, Raleigh, NC, 27617
    • 126 Pritchard Rd, Clayton, NC, 27527
    • 2001 S Main St, Wake Forest, NC, 27587
    • 1260 N Arendell Ave, Zebulon, NC, 27597

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3449-027-002Medicare.gov
    $0a month
  • Blue Medicare Essential Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 7750 Ten Ten Rd, Raleigh, NC, 27603
    • 16126 NC Highway 50 N, Garner, NC, 27529
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612
    • 1100 NW Maynard Rd, Ste 110, Cary, NC, 27513
    • 6800 Glenwood Ave, Raleigh, NC, 27612
    • 815 Springfield Commons Dr, Raleigh, NC, 27609
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520
    • 7851 Alexander Promenade Pl, Ste 130, Raleigh, NC, 27617
    • 126 Pritchard Rd, Clayton, NC, 27527
    • 2001 S Main St, Wake Forest, NC, 27587
    • 1260 N Arendell Ave, Zebulon, NC, 27597

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH3449-023-002Medicare.gov
    $0a month
  • Blue Medicare Freedom+ (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 7750 Ten Ten Rd, Raleigh, NC, 27603
    • 16126 NC Highway 50 N, Garner, NC, 27529
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612
    • 1100 NW Maynard Rd, Ste 110, Cary, NC, 27513
    • 6800 Glenwood Ave, Raleigh, NC, 27612
    • 815 Springfield Commons Dr, Raleigh, NC, 27609
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520
    • 7851 Alexander Promenade Pl, Ste 130, Raleigh, NC, 27617
    • 126 Pritchard Rd, Clayton, NC, 27527
    • 2001 S Main St, Wake Forest, NC, 27587
    • 1260 N Arendell Ave, Zebulon, NC, 27597

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH3404-004-000Medicare.gov
    $0a month
  • Blue Medicare Medical Only (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 7750 Ten Ten Rd, Raleigh, NC, 27603
    • 16126 NC Highway 50 N, Garner, NC, 27529
    • 3708 Forestview Rd, Ste 207, Raleigh, NC, 27612
    • 1100 NW Maynard Rd, Ste 110, Cary, NC, 27513
    • 6800 Glenwood Ave, Raleigh, NC, 27612
    • 815 Springfield Commons Dr, Raleigh, NC, 27609
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520
    • 7851 Alexander Promenade Pl, Ste 130, Raleigh, NC, 27617
    • 126 Pritchard Rd, Clayton, NC, 27527
    • 2001 S Main St, Wake Forest, NC, 27587
    • 1260 N Arendell Ave, Zebulon, NC, 27597

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4 starsH3449-012-000Medicare.gov
    $0a month

Wellcare

7 plans list Susmita.

7plans
  • Wellcare Assist Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1914-009-000Medicare.gov
    $0a month
  • Wellcare Patriot Giveback Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3 starsH1914-011-000Medicare.gov
    $0a month
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH4073-001-000Medicare.gov
    $0a month
  • Wellcare Simple Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1914-007-000Medicare.gov
    $0a month

Aetna Medicare

6 plans list Susmita.

6plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 12701 Clayton Blvd, Clayton, NC, 27520
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-241-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 12701 Clayton Blvd, Clayton, NC, 27520
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3146-004-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 12701 Clayton Blvd, Clayton, NC, 27520
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-609-000Medicare.gov
    $0a month
  • Aetna Medicare Value Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 12701 Clayton Blvd, Clayton, NC, 27520
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3146-006-000Medicare.gov
    $0a month

Alignment Health Plan

6 plans list Susmita.

6plans
  • Alignment Health Platinum 010 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16126 NC Highway 50 N, Garner, NC, 27529

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH5296-010-000Medicare.gov
    $0a month
  • Alignment Health Smart 006 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16126 NC Highway 50 N, Garner, NC, 27529

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH5296-006-000Medicare.gov
    $0a month
  • Alignment Health AVA 001 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16126 NC Highway 50 N, Garner, NC, 27529

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH7074-001-000Medicare.gov
    $20a month
  • Alignment Health Heart & Diabetes 011 (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16126 NC Highway 50 N, Garner, NC, 27529

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage4.5 starsH5296-011-000Medicare.gov
    $0a month

Liberty Medicare Advantage

2 plans list Susmita.

2plans
  • Liberty Medicare Advantage (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 7750 Ten Ten Rd, Raleigh, NC, 27603
    • 16126 NC Highway 50 N, Garner, NC, 27529
    • 6800 Glenwood Ave, Raleigh, NC, 27612
    • 9648 Chapel Hill Rd, Morrisville, NC, 27560
    • 815 Springfield Commons Dr, Raleigh, NC, 27609
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520
    • 2001 S Main St, Wake Forest, NC, 27587
    • 2216 E NC Highway 54, Durham, NC, 27713
    • 1260 N Arendell Ave, Zebulon, NC, 27597

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage3.5 starsH6351-004-000Medicare.gov
    $0a month
  • Liberty Medicare Dual Plan (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4530 Fayetteville Rd, Raleigh, NC, 27603
    • 7750 Ten Ten Rd, Raleigh, NC, 27603
    • 16126 NC Highway 50 N, Garner, NC, 27529
    • 6800 Glenwood Ave, Raleigh, NC, 27612
    • 9648 Chapel Hill Rd, Morrisville, NC, 27560
    • 815 Springfield Commons Dr, Raleigh, NC, 27609
    • 12701 US 70 Business Hwy W, Clayton, NC, 27520
    • 2001 S Main St, Wake Forest, NC, 27587
    • 2216 E NC Highway 54, Durham, NC, 27713
    • 1260 N Arendell Ave, Zebulon, NC, 27597

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH6351-005-000Medicare.gov
    $17.50a month

Humana

Not listed on its 18 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Susmita takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

4530 Fayetteville Rd
Raleigh, NC 27603

NPI Registry
NPI issued
2019
Registry record updated
Oct 10, 2023

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Susmita Adhikari?

In Wake County, NC, 40 Medicare Advantage plans for 2027 list Susmita in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage from UHC NC-0007 (HMO-POS), AARP Medicare Advantage from UHC NC-0017 (PPO) and AARP Medicare Advantage from UHC NC-15 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Susmita Adhikari take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Susmita on 12 Medicare Advantage plans for 2027 in Wake County, NC, including AARP Medicare Advantage from UHC NC-0007 (HMO-POS) and AARP Medicare Advantage from UHC NC-0017 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Susmita Adhikari take Blue Cross and Blue Shield of North Carolina Medicare Advantage plans?

Medicare.gov provider data lists Susmita on 7 Medicare Advantage plans for 2027 in Wake County, NC, including Blue Medicare Essential (HMO) and Blue Medicare Essential Plus (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Blue Cross and Blue Shield of North Carolina before you enroll.

Does Susmita Adhikari take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists Susmita on 7 Medicare Advantage plans for 2027 in Wake County, NC, including Wellcare Assist Open (PPO) and Wellcare Patriot Giveback Open (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Where does Susmita Adhikari practice?

4530 Fayetteville Rd, Raleigh, NC 27603.

How do I confirm Susmita is in my plan's network?

Call the member services number on your plan card and give them the NPI 1356901201, or ask a Silverpath advisor to check for you. It's free.

Free · No obligation

Talk to a licensed advisor

A Silverpath advisor can confirm Susmita's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Humana's directory doesn't list Susmita Adhikari on any of its 18 plans in Wake County, NC.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2023-10-10). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Susmita Adhikari or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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