HIRAL PATEL FNP-C
NPI 1023607702
Nurse Practitioner - Psychiatric/Mental Health in Horsham, PA

Active since January 15, 2021PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
680 BLAIR MILL RD, HORSHAM, PA 19044(215) 902-9020 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Mar 5, 2021, Jan 15, 2021 (3 updates tracked since 2021).

About Hiral Patel Fnp-c NPPES

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

HIRAL PATEL FNP-C (NPI 1023607702) is an individual psychiatric/mental health provider in Horsham, Pennsylvania, licensed in Pennsylvania (SP029611) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023607702
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHIRAL PATELCredential: FNP-C
Location Address680 BLAIR MILL RDHorsham, PA 19044-2223
Mailing Address680 Blair Mill RdHorsham, PA 19044-2223
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 15, 2021
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1023607702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in PA · SP029611
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP023068 (PA)
680 BLAIR MILL RD, Horsham, PA 19044

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

Hiral Patel Fnp-c 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 ID4385909647
PECOS Enrollment IDI20221028002734
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,934 services333 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
1,042 services290 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
165 services106 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
110 services56 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
71 services15 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
68 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Gerontology)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD, STE. 400
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Adult Health)
680 BLAIR MILL RD
HORSHAM, PA 19044

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 Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1023607702. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Hiral Patel located?

Hiral Patel practices at 680 Blair Mill Rd, Horsham, PA 19044. The listed phone number is (215) 902-9020.

What is Hiral Patel's specialty?

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

Is Hiral Patel enrolled in Medicare?

Yes. Hiral 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.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.