KRUPA PATEL FNP-C
NPI 1033818638
Nurse Practitioner - Family in Cumming, GA
About Krupa Patel Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRUPA PATEL FNP-C (NPI 1033818638) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN287280) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Krupa 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.
Medicare Billing Reassignment
Medicare enrollment records show Krupa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CUMMING, GA 30040
CUMMING, GA 30040
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 Krupa Patel's NPI number?
The NPI number for Krupa Patel is 1033818638. It was assigned to this individual provider in the NPPES registry on March 2, 2023.
Where is Krupa Patel located?
Krupa Patel practices at 260 Elm St, Cumming, GA 30040. The listed phone number is (708) 871-6687.
What is Krupa Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Krupa Patel enrolled in Medicare?
Yes. Krupa 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 organization bills Medicare for Krupa Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Patel reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The 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 Krupa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krupa Patel accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Krupa 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.
Is Krupa Patel affiliated with any hospitals?
According to CMS data, Krupa Patel is affiliated with Emory University Hospital Midtown.
When was this NPI record last updated?
The NPPES record for Krupa Patel was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Krupa Patel, FNP-C · NPI 1033818638
Family physician in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since March 2, 2023.
## Identity
- **NPI:** 1033818638 (Entity type: Individual)
- **Enumerated:** March 2, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN287280 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 ELM ST, Cumming, GA 30040-2467
- **Phone:** (708) 871-6687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033818638) · Data from the CMS NPPES public registry.