MRS. SUMITRA PATEL CRNP
NPI 1003497876
Nurse Practitioner - Psychiatric/Mental Health in Pulaski, TN

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
1002 BRINDLEY DR, PULASKI, TN 38478(931) 363-5438 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2021, Apr 14, 2021 (2 updates tracked since 2021).

About Mrs. Sumitra Patel Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUMITRA PATEL CRNP (NPI 1003497876) is an individual psychiatric/mental health provider in Pulaski, Tennessee, licensed in Alabama (1-121908) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Huntsville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003497876
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SUMITRA PATELCredential: CRNP
Location Address1002 BRINDLEY DRPulaski, TN 38478-4705
Mailing Address28555 Boyds Chapel RdElkmont, AL 35620-3454 · (256) 566-5543
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1003497876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AL · 1-121908
1002 BRINDLEY DR, Pulaski, TN 38478

Secondary Practice Location 1

Location 1101 Sivley Rd SWHuntsville, AL 35801-4421 · Phone (256) 265-1000 ext. 8989

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sumitra Patel Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901295351
PECOS Enrollment IDI20211105001363
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sumitra Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1921 RANSOM PL
Nashville, TN 37217
  • Reassigned Medicare billing, Tennessee enrollment
  • 181 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Tennessee enrollment
  • 315 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1002 BRINDLEY DR
PULASKI, TN 38478
Case Manager/Care Coordinator
1002 BRINDLEY DR
PULASKI, TN 38478
Nurse Practitioner (Psychiatric/Mental Health)
1002 BRINDLEY DR
PULASKI, TN 38478
Case Manager/Care Coordinator
1002 BRINDLEY DR
PULASKI, TN 38478
Community Health Worker
1002 BRINDLEY DR
PULASKI, TN 38478
Case Manager/Care Coordinator
1002 BRINDLEY DR
PULASKI, TN 38478
Case Manager/Care Coordinator
1002 BRINDLEY DR
PULASKI, TN 38478
Counselor (Mental Health)
1002 BRINDLEY DR
PULASKI, TN 38478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumitra Patel's NPI number?

The NPI number for Sumitra Patel is 1003497876. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Sumitra Patel located?

Sumitra Patel practices at 1002 Brindley Dr, Pulaski, TN 38478. The listed phone number is (931) 363-5438.

What is Sumitra Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sumitra Patel enrolled in Medicare?

Yes. Sumitra Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sumitra Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumitra Patel reassigns Medicare benefits to 2 organizations: Centerstone Of Tennessee, Inc. (Nashville, TN) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sumitra Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumitra Patel accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Sumitra Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sumitra Patel was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.