SHIVANI A PATEL FNP-BC
NPI 1164831251
Nurse Practitioner in Waterford, WI
About Shivani A Patel Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIVANI A PATEL FNP-BC (NPI 1164831251) is an individual nurse practitioner in Waterford, Wisconsin, licensed in Wisconsin (9945-33) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Shivani A Patel Fnp-bc 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 Reassignments
4Medicare enrollment records show Shivani Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Chicago, IL 60617
- Reassigned Medicare billing, Illinois enrollment
- 343 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 553 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53185 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERFORD, WI 53185
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 Shivani Patel's NPI number?
The NPI number for Shivani Patel is 1164831251. It was assigned to this individual provider in the NPPES registry on August 4, 2014.
Where is Shivani Patel located?
Shivani Patel practices at 818 Forest Ln, Waterford, WI 53185. The listed phone number is (800) 326-2250.
What is Shivani Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shivani Patel enrolled in Medicare?
Yes. Shivani 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 Shivani Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Patel reassigns Medicare benefits to 4 organizations: Aurora Medical Group, Inc. (West Allis, WI), Lutheran General Hospital (Park Ridge, IL), Oak Street Health Physicians Group, PC (Chicago, IL) and Banner - University Physician Specialists LLC (Phoenix, AZ). 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 Shivani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shivani Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Arizona, CareSource (Common Ground Healthcare) and HealthPartners and 3 other insurers list Shivani 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 Shivani Patel was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shivani A Patel, FNP-BC · NPI 1164831251
Nurse Practitioner physician in Waterford, Wisconsin. Individual provider, active in the CMS NPPES registry since August 4, 2014.
## Identity
- **NPI:** 1164831251 (Entity type: Individual)
- **Enumerated:** August 4, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 9945-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 818 FOREST LN, Waterford, WI 53185-4585
- **Phone:** (800) 326-2250
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Lutheran General Hospital (NPI 1801809306, Park Ridge, IL); Oak Street Health Physicians Group, PC (NPI 1083051643, Chicago, IL); Banner - University Physician Specialists LLC (NPI 1417312760, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 10, 2025
- **Other identifiers:** Medicaid 100102478 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1164831251) · Data from the CMS NPPES public registry.