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PAYAL PATEL APRN-CNP, RN
NPI 1083236624
Nurse Practitioner in Cincinnati, OH

Active since May 16, 2020PECOS Enrolled
737 REGENT RD, CINCINNATI, OH 45245(513) 520-8237 Get Directions Write a Review

NPPES record last updated: May 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Payal Patel Aprn-cnp, Rn NPPES

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

PAYAL PATEL APRN-CNP, RN (NPI 1083236624) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (026608) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083236624
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAYAL PATELCredential: APRN-CNP, RN
Location Address737 REGENT RDCincinnati, OH 45245-1653
Mailing Address737 Regent RdCincinnati, OH 45245-1653 · (513) 520-8237
Phone(513) 520-8237
Sole ProprietorYes
Enumeration DateMay 16, 2020
NPPES CertifiedMay 16, 2020
✔ NPI 1083236624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · 026608
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
737 REGENT RD, Cincinnati, OH 45245
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payal Patel Aprn-cnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Vpa PC
1.5 mi
Family Medicine
4435 AICHOLTZ RD STE 400
Cincinnati, OH 45245
  • Reassigned Medicare billing, Ohio enrollment
  • 268 clinicians in this Medicare group
NPI 1598089104 (513) 947-0400
Signify Health, LLC
820 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45245 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Payal Patel's NPI number?

The NPI number for Payal Patel is 1083236624. It was assigned to this individual provider in the NPPES registry on May 16, 2020.

Where is Payal Patel located?

Payal Patel practices at 737 Regent Rd, Cincinnati, OH 45245. The listed phone number is (513) 520-8237.

What is Payal Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Payal Patel enrolled in Medicare?

Yes. Payal Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Payal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Patel reassigns Medicare benefits to 2 organizations: Vpa PC (Cincinnati, OH) and Signify Health, LLC (Dallas, TX). 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 Payal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and CareSource (Common Ground Healthcare) list Payal 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 Payal Patel was last updated on May 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.