NIDHI DEVENDRABHAI PATEL AGACNP
NPI 1265248041
Nurse Practitioner - Gerontology in Newton, NC

Active since December 06, 2024PECOS Enrolled
3975 ROBINSON RD, NEWTON, NC 28658(828) 466-0466(828) 466-8862 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2025, Dec 6, 2024 (2 updates tracked since 2024).

About Nidhi Devendrabhai Patel Agacnp NPPES

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

NIDHI DEVENDRABHAI PATEL AGACNP (NPI 1265248041) is an individual gerontology provider in Newton, North Carolina, licensed in North Carolina (2023204837) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265248041
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNIDHI DEVENDRABHAI PATELCredential: AGACNP
Location Address3975 ROBINSON RDNewton, NC 28658-9715
Mailing Address1870 Teachers House Rd NwConcord, NC 28027-9812
Fax(828) 466-8862
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 6, 2024
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1265248041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NC · 2023204837
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5021335 (NC)
3975 ROBINSON RD, Newton, NC 28658

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidhi Devendrabhai Patel Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183148059
PECOS Enrollment IDI20250412000144
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 Nidhi Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3975 ROBINSON RD
Newton, NC 28658
  • Reassigned Medicare billing, North Carolina enrollment
  • 16 clinicians in this Medicare group
Hospice and Palliative Medicine
3975 ROBINSON RD
Newton, NC 28658
  • Reassigned Medicare billing, North Carolina enrollment
  • 49 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28658 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Family Medicine (Hospice and Palliative Medicine)
3975 ROBINSON RD
NEWTON, NC 28658
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658

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 Nidhi Patel's NPI number?

The NPI number for Nidhi Patel is 1265248041. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Nidhi Patel located?

Nidhi Patel practices at 3975 Robinson Rd, Newton, NC 28658. The listed phone number is (828) 466-0466.

What is Nidhi Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nidhi Patel enrolled in Medicare?

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

Which organizations bill Medicare for Nidhi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Patel reassigns Medicare benefits to 2 organizations: Carolina Caring Health Partners, LLC (Newton, NC) and Carolina Caring Serious Illness, LLC (Newton, 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 Nidhi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nidhi Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Nidhi 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 Nidhi Patel was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.