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MS. NEHAL PATEL RN, APRN
NPI 1265012231
Nurse Practitioner in Jacksonville, FL

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207(904) 398-0125(904) 376-3203 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2024, Dec 6, 2022, Apr 13, 2021 (3 updates tracked since 2021).

About Ms. Nehal Patel Rn, Aprn NPPES

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

MS. NEHAL PATEL RN, APRN (NPI 1265012231) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11020230) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1265012231
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. NEHAL PATELCredential: RN, APRN
Location Address836 PRUDENTIAL DR STE 1700Jacksonville, FL 32207-8344
Mailing AddressPo Box 746652Atlanta, GA 30374-6652 · (904) 720-0599 · Fax (904) 376-4036
Phone(904) 398-0125
Fax(904) 376-3203
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 13, 2021
Last NPPES UpdateJune 19, 20243 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1265012231 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
License✔ Licensed in FL · APRN11020230
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 ListedRegistered NurseTaxonomy 163W00000X · License 917673 (TX)
836 PRUDENTIAL DR STE 1700, Jacksonville, FL 32207
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Secondary Practice Location 1

Location 15150 Belfort Rd Bldg 400Jacksonville, FL 32256-6026 · Phone (904) 580-4730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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

Ms. Nehal Patel Rn, 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 ID9537532338
PECOS Enrollment IDI20230225000429
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 5

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.
137 services120 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
53 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

DR. BHARAT KUMAR GUMMADI M.D.
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
MARY SLOAN COURTNEY APRN
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. SALIL J. PATEL MD
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. MATTHEW STEPHEN MCKILLOP M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. CARL DAVID HASSEL MD
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
MRS. KIMBERLY MARIE PETRAGNANI ARNP
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
CHRISTINA P BACH APRN
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. CHRISTOPHER P RUISI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125

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 Nehal Patel's NPI number?

The NPI number for Nehal Patel is 1265012231. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Nehal Patel located?

Nehal Patel practices at 836 Prudential Dr Ste 1700, Jacksonville, FL 32207. The listed phone number is (904) 398-0125.

What is Nehal Patel's specialty?

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

Is Nehal Patel enrolled in Medicare?

Yes. Nehal 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 Nehal Patel accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Nehal 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 Nehal Patel affiliated with any hospitals?

According to CMS data, Nehal Patel is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Nehal Patel was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.