IPSA PATEL
NPI 1295335289
Nurse Practitioner - Acute Care in Springfield, OH

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
79.91/100
CMS Quality Rating
30 W MCCREIGHT AVE STE 211, SPRINGFIELD, OH 45504(937) 325-3696(937) 325-3713 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Jan 28, 2022, Oct 28, 2020 (3 updates tracked since 2020).

About Ipsa Patel NPPES

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

IPSA PATEL (NPI 1295335289) is an individual acute care provider in Springfield, Ohio, licensed in Ohio (APRN.CNP.0027265) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2019).

NPPES Registry Identity

NPI1295335289
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameIPSA PATEL
Location Address30 W MCCREIGHT AVE STE 211Springfield, OH 45504-1853
Mailing Address3143 Elora LnFairfield Township, OH 45011-0532
Fax(937) 325-3713
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2019
Enumeration DateOctober 28, 2020
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1295335289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · APRN.CNP.0027265
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2019071408 (OH)
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License APRN.CNP.0027265 (OH)
30 W MCCREIGHT AVE STE 211, Springfield, OH 45504

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

Ipsa 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.

PECOS PAC ID8921496167
PECOS Enrollment IDI20211021000201
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 2

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.

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.
20 services20 patients
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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45504 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.

79.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.98
Improvement Activities40
Cost63.73

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
30 W MCCREIGHT AVE STE 211
SPRINGFIELD, OH 45504
Internal Medicine (Gastroenterology)
30 W MCCREIGHT AVE STE 211
SPRINGFIELD, OH 45504
Internal Medicine (Gastroenterology)
30 W MCCREIGHT AVE STE 211
SPRINGFIELD, OH 45504
Internal Medicine (Gastroenterology)
30 W MCCREIGHT AVE STE 211
SPRINGFIELD, OH 45504
Nurse Practitioner (Family)
30 W MCCREIGHT AVE STE 211
SPRINGFIELD, OH 45504

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 Ipsa Patel's NPI number?

The NPI number for Ipsa Patel is 1295335289. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Ipsa Patel located?

Ipsa Patel practices at 30 W Mccreight Ave Ste 211, Springfield, OH 45504. The listed phone number is (937) 325-3696.

What is Ipsa Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ipsa Patel enrolled in Medicare?

Yes. Ipsa 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 Ipsa Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Ipsa 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 Ipsa Patel was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.