GRISHMA PATEL
NPI 1275380495
Nurse Practitioner - Acute Care in St Paul, TX
About Grishma Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRISHMA PATEL (NPI 1275380495) is an individual acute care provider in St Paul, Texas, licensed in Texas (1048616) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Grishma Patel 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75098 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Grishma Patel's NPI number?
The NPI number for Grishma Patel is 1275380495. It was assigned to this individual provider in the NPPES registry on May 6, 2024.
Where is Grishma Patel located?
Grishma Patel practices at 2026 Celebration Ln, St Paul, TX 75098. The listed phone number is (217) 819-0133.
What is Grishma Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Grishma Patel enrolled in Medicare?
Yes. Grishma 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 Grishma Patel accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Grishma 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 Grishma Patel affiliated with any hospitals?
According to CMS data, Grishma Patel is affiliated with Medical City Plano.
When was this NPI record last updated?
The NPPES record for Grishma Patel was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grishma Patel · NPI 1275380495
Acute Care physician in St Paul, Texas. Individual provider, active in the CMS NPPES registry since May 6, 2024.
## Identity
- **NPI:** 1275380495 (Entity type: Individual)
- **Enumerated:** May 6, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1048616 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2026 CELEBRATION LN, St Paul, TX 75098-1887
- **Phone:** (217) 819-0133
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275380495) · Data from the CMS NPPES public registry.