MRS. PRIYA PATEL RN, BSN, FNP
NPI 1073966230
Nurse Practitioner - Family in Florissant, MO

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment
261 DUNN RD, FLORISSANT, MO 63031(314) 830-2600(314) 830-2648 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Feb 9, 2021 (2 updates tracked since 2021).

About Mrs. Priya Patel Rn, Bsn, Fnp NPPES

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

MRS. PRIYA PATEL RN, BSN, FNP (NPI 1073966230) is an individual family provider in Florissant, Missouri, licensed in Illinois (209033965) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Granite City, and is a graduate of Oregon Health Sciences University School Of Medicine (1999).

NPPES Registry Identity

NPI1073966230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. PRIYA PATELCredential: RN, BSN, FNP
Location Address261 DUNN RDFlorissant, MO 63031-7928
Mailing AddressPo Box 650Edwardsville, IL 62025-0650 · (314) 830-2600 · Fax (314) 830-2648
Fax(314) 830-2648
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1999
Enumeration DateJuly 22, 2016
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1073966230 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 IL · 209033965 Licensed in MO · 2018018070
261 DUNN RD, Florissant, MO 63031

Secondary Practice Location 1

Location 12421 Corporate Ctr Ste 105Granite City, IL 62040-4195 · Phone (314) 830-2600 · Fax (314) 830-2648

Accepted 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

Mrs. Priya Patel Rn, Bsn, Fnp 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 ID3274948864
PECOS Enrollment IDI20210211002405
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 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.
104 services66 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.
30 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 6

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

Nurse Practitioner (Family)
261 DUNN RD
FLORISSANT, MO 63031
Pain Medicine (Interventional Pain Medicine)
261 DUNN RD
FLORISSANT, MO 63031
Durable Medical Equipment & Medical Supplies
261 DUNN RD
FLORISSANT, MO 63031
Pain Medicine (Interventional Pain Medicine)
261 DUNN RD
FLORISSANT, MO 63031
Physician Assistant (Medical)
261 DUNN RD
FLORISSANT, MO 63031
Nurse Practitioner (Family)
261 DUNN RD
FLORISSANT, MO 63031

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1073966230. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Priya Patel located?

Priya Patel practices at 261 Dunn Rd, Florissant, MO 63031. The listed phone number is (314) 830-2600.

What is Priya Patel's specialty?

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

Is Priya Patel enrolled in Medicare?

Yes. Priya 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 Priya Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Priya 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 Priya Patel was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.