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CHARMY PATEL NP
NPI 1013451921
Nurse Practitioner - Family in Dracut, MA

Active since December 12, 2016PECOS EnrolledAccepts Medicare Assignment
9 LOON HILL RD STE 301, DRACUT, MA 01826(978) 323-0360 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, May 31, 2020, May 18, 2017 and 3 more (6 updates tracked since 2016).

About Charmy Patel Np NPPES

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

CHARMY PATEL NP (NPI 1013451921) is an individual family provider in Dracut, Massachusetts, licensed in Massachusetts (RN2287384) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2016).

NPPES Registry Identity

NPI1013451921
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARMY PATELCredential: NP
Location Address9 LOON HILL RD STE 301Dracut, MA 01826-4365
Mailing Address9 Loon Hill Rd Ste 301Dracut, MA 01826-4365
Phone(978) 323-0360
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016
Enumeration DateDecember 12, 2016
Last NPPES UpdateMay 25, 20226 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1013451921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MA · RN2287384✔ Licensed in NH · 068603-23
9 LOON HILL RD STE 301, Dracut, MA 01826
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charmy Patel Np 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 ID6204117187
PECOS Enrollment IDI20170109001191
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.

Areas of Expertise CMS Part B claims 7

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 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.
302 services135 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
186 services83 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
82 services60 patients
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.
77 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
60 services54 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01826 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers22 claims54 services$6.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers17 claims17 services$183.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MIGUEL A ARIZA M.D.
Internal Medicine
9 LOON HILL RD STE 301
DRACUT, MA 01826
Middlesex County (978) 323-0360
DR. ANCA STAII M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9 LOON HILL RD STE 301
DRACUT, MA 01826
Middlesex County (978) 323-0360
MRS. CIGY METHRATTA
Nurse Practitioner (Family)
9 LOON HILL RD STE 301
DRACUT, MA 01826
Middlesex County (978) 323-0360
JULIA MARY GONSALVES
Registered Nurse (Diabetes Educator)
9 LOON HILL RD STE 301
DRACUT, MA 01826
Middlesex County (978) 323-0360

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 Charmy Patel's NPI number?

The NPI number for Charmy Patel is 1013451921. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Charmy Patel located?

Charmy Patel practices at 9 Loon Hill Rd Ste 301, Dracut, MA 01826. The listed phone number is (978) 323-0360.

What is Charmy Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charmy Patel enrolled in Medicare?

Yes. Charmy 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.

What insurance does Charmy Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Charmy 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 Charmy Patel was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.