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KRISHNA PATEL CNP
NPI 1265056063
Nurse Practitioner - Family in Columbus, OH

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
99 N BRICE RD STE 300, COLUMBUS, OH 43213(614) 866-8200(614) 866-9131 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2021, Jun 8, 2020 (2 updates tracked since 2020).

About Krishna Patel Cnp NPPES

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

KRISHNA PATEL CNP (NPI 1265056063) is an individual family provider in Columbus, Ohio, licensed in Ohio (025597) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265056063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISHNA PATELCredential: CNP
Location Address99 N BRICE RD STE 300Columbus, OH 43213-6519
Mailing Address99 N Brice Rd Ste 300Columbus, OH 43213-6519 · (614) 866-8200 · Fax (614) 866-9131
Phone(614) 866-8200
Fax(614) 866-9131
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 8, 2020
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1265056063 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
License✔ Licensed in OH · 025597
99 N BRICE RD STE 300, Columbus, OH 43213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cox HealthPlans.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

Krishna Patel Cnp 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 ID4486076742
PECOS Enrollment IDI20240614002709
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 3

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.

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.
37 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers21 claims21 services$30.72 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers42 claims42 services$71.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers34 claims78 services$28.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers28 claims139 services$15.08 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers35 claims35 services$45.20 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers49 claims49 services$14.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JYOTI KANDEL ADHIKARI
Nurse Practitioner (Family)
99 N BRICE RD STE 300
COLUMBUS, OH 43213
Franklin County (614) 866-8200
AKEELA BOWENS
Nurse Practitioner (Family)
99 N BRICE RD STE 300
COLUMBUS, OH 43213
Franklin County (614) 866-8200
MS. NICOLETTE BRIE TECKMEYER APRN
Nurse Practitioner (Family)
99 N BRICE RD STE 300
COLUMBUS, OH 43213
Franklin County (614) 866-8200
JORDAN MCELHENIE BS
Nurse Practitioner
99 N BRICE RD STE 300
COLUMBUS, OH 43213
Franklin County (614) 866-2000

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 Krishna Patel's NPI number?

The NPI number for Krishna Patel is 1265056063. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Krishna Patel located?

Krishna Patel practices at 99 N Brice Rd Ste 300, Columbus, OH 43213. The listed phone number is (614) 866-8200.

What is Krishna Patel's specialty?

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

Is Krishna Patel enrolled in Medicare?

Yes. Krishna 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 Krishna Patel accept?

Health plans from CareSource and Cox HealthPlans list Krishna 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 Krishna Patel affiliated with any hospitals?

According to CMS data, Krishna Patel is affiliated with Barnes Jewish Hospital and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Krishna Patel was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.