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PAYAL PATEL APRN
NPI 1104606144
Nurse Practitioner in Columbia, SC

Active since October 05, 2023PECOS EnrolledAccepts Medicare Assignment
SC HOUSE CALLS INC., 111 DOCTORS CIR., COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Nov 10, 2023, Oct 5, 2023 (3 updates tracked since 2023).

About Payal Patel Aprn NPPES

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

PAYAL PATEL APRN (NPI 1104606144) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (27970) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104606144
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAYAL PATELCredential: APRN
Location AddressSC HOUSE CALLS INC., 111 DOCTORS CIR.Columbia, SC 29203
Mailing Address865 Sand Binder DrMyrtle Beach, SC 29579-4377 · (609) 350-4095
Phone(800) 491-0909
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 5, 2023
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1104606144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in SC · 27970✔ Licensed in NC · 5021528
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APN.27970 (SC)
SC HOUSE CALLS INC., Columbia, SC 29203
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Secondary Practice Location 1

Location 18307 University Exec Park Dr Ste 242Charlotte, NC 28262-1374 · Phone (980) 478-9661 · Fax (980) 500-1475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, UnitedHealthcare.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

Payal Patel Aprn 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 ID7719328756
PECOS Enrollment IDI20240508003135
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.

Sc House Calls Inc
3.1 mi
Family Medicine
111 DOCTOR CIR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 631 clinicians in this Medicare group
NPI 1518048859 (800) 491-0909
Mental Health Specialty Group PA
179 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 104 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

Areas of Expertise CMS Part B claims 4

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.
208 services55 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
202 services54 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
39 services12 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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

ASHLEY DOUGLAS LISW
Social Worker (Clinical)
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
ASHLEY MARIA BELTON APRN
Nurse Practitioner
SC HOUSE CALLS INC., 111 DOCTOR CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
MRS. JENNIFER PARKER JACKSON APRN
Nurse Practitioner
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
MR. SERGEI MAKHENZON OT
Occupational Therapist
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
HANAA BENCHEKROUN BELABBES MD
Internal Medicine
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
ZENDREA E GOVAN LISW
Social Worker (Clinical)
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
KASEY WATSON OT
Occupational Therapist
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909
NATASHA BRADY APRN
Nurse Practitioner
SC HOUSE CALLS INC., 111 DOCTORS CIR.
COLUMBIA, SC 29203
Richland County (800) 491-0909

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 1104606144. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Payal Patel located?

Payal Patel practices at Sc House Calls Inc. 111 Doctors Cir., Columbia, SC 29203. The listed phone number is (800) 491-0909.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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: Sc House Calls Inc (Columbia, SC) and Mental Health Specialty Group PA (Durham, NC). 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 Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and UnitedHealthcare 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 July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.