MS. RACHNA PATEL FNP-BC
NPI 1295002145
Nurse Practitioner - Family in Houston, TX
About Ms. Rachna Patel Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. RACHNA PATEL FNP-BC (NPI 1295002145) is an individual family provider in Houston, Texas, licensed in Texas (AP121575) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Ms. Rachna 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 Reassignment
Medicare enrollment records show Rachna Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,675 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 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Rachna Patel's NPI number?
The NPI number for Rachna Patel is 1295002145. It was assigned to this individual provider in the NPPES registry on November 21, 2011.
Where is Rachna Patel located?
Rachna Patel practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.
What is Rachna Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rachna Patel enrolled in Medicare?
Yes. Rachna 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 organization bills Medicare for Rachna Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachna Patel reassigns Medicare benefits to Physicians Referral Service (Houston, TX). The 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 Rachna Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachna Patel accept?
Health plans from Blue Cross and Blue Shield of Texas list Rachna 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 Rachna Patel was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Rachna Patel, FNP-BC · NPI 1295002145
Family physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since November 21, 2011.
## Identity
- **NPI:** 1295002145 (Entity type: Individual)
- **Enumerated:** November 21, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP121575 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 HOLCOMBE BLVD, Houston, TX 77030-4009
- **Phone:** (713) 792-6161
## 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:** Physicians Referral Service (NPI 1073574810, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 23, 2015
- **Other identifiers:** Medicare PIN 438221YKQH (TX); Medicaid 297101203 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1295002145) · Data from the CMS NPPES public registry.