RINKU M PATEL APNP
NPI 1306537410
Nurse Practitioner - Family in West Bend, WI

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
1700 W PARADISE DR, WEST BEND, WI 53095(262) 334-3451 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2024, May 18, 2023 (2 updates tracked since 2023).

About Rinku M Patel Apnp NPPES

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

RINKU M PATEL APNP (NPI 1306537410) is an individual family provider in West Bend, Wisconsin, licensed in Wisconsin (1431333) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306537410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRINKU M PATELCredential: APNP
Location Address1700 W PARADISE DRWest Bend, WI 53095-9795
Mailing Address1700 W Paradise DrWest Bend, WI 53095-9795 · (262) 334-3451
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 18, 2023
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1306537410 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 WI · 1431333
1700 W PARADISE DR, West Bend, WI 53095

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

Rinku M Patel Apnp 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 ID3577918705
PECOS Enrollment IDI20231009001384, I20260519002367
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 Rinku Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
Family Medicine
4282 E ROCKTON RD
Roscoe, IL 61073
  • Reassigned Medicare billing, Illinois enrollment
  • 474 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.

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.

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.
113 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Occupational Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Nurse Practitioner (Family)
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Nurse Practitioner (Family)
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095

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 Rinku Patel's NPI number?

The NPI number for Rinku Patel is 1306537410. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Rinku Patel located?

Rinku Patel practices at 1700 W Paradise Dr, West Bend, WI 53095. The listed phone number is (262) 334-3451.

What is Rinku Patel's specialty?

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

Is Rinku Patel enrolled in Medicare?

Yes. Rinku 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 organizations bill Medicare for Rinku Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rinku Patel reassigns Medicare benefits to 2 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and Swedishamerican Hospital (Roscoe, IL). 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 Rinku Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rinku Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Rinku 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 Rinku Patel affiliated with any hospitals?

According to CMS data, Rinku Patel is affiliated with Uw Health and St Josephs Community Hospital West Bend.

When was this NPI record last updated?

The NPPES record for Rinku Patel was last updated on February 9, 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.