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JAYABEN D PATEL NP-C
NPI 1316518079
Nurse Practitioner - Family in Saint Marys, OH

Active since July 05, 2021PECOS EnrolledAccepts Medicare Assignment
85.3/100
CMS Quality Rating
1140 S KNOXVILLE AVE STE A, SAINT MARYS, OH 45885(419) 394-9959(419) 394-0255 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Aug 5, 2021, Jul 28, 2021 and 2 more (5 updates tracked since 2021).

About Jayaben D Patel Np-c NPPES

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

JAYABEN D PATEL NP-C (NPI 1316518079) is an individual family provider in Saint Marys, Ohio, licensed in Ohio (0029119) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316518079
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAYABEN D PATELCredential: NP-C
Location Address1140 S KNOXVILLE AVE STE ASaint Marys, OH 45885-2609
Mailing Address200 Saint Clair AveSaint Marys, OH 45885-2400 · (419) 300-1129 · Fax (419) 394-0255
Phone(419) 394-9959
Fax(419) 394-0255
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 5, 2021
Last NPPES UpdateAugust 9, 20215 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1316518079 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 OH · 0029119
1140 S KNOXVILLE AVE STE A, Saint Marys, OH 45885
Open in Google Maps ↗

Other Identifiers 1

Medicaid0453412OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jayaben D Patel Np-c 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 ID3678977113
PECOS Enrollment IDI20210805003068
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 8

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 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.
189 services144 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.
147 services123 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services11 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
15 services15 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45885 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.

85.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability98
Improvement Activities40
Cost69.04

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims27 services$6.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAWN P MCNAUGHTON MD
Family Medicine
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Auglaize County (419) 394-9959
MICHAEL C JOSEY M.D.
General Practice
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Auglaize County (419) 394-9959
ANDREA CRISTINA GONZALEZ MD
Family Medicine
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Auglaize County (419) 394-9959
KENNETH L FOX MD
Family Medicine
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Auglaize County (419) 394-9959
NICOLE A LINK NP-C
Nurse Practitioner (Family)
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Auglaize County (419) 394-9959

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 Jayaben Patel's NPI number?

The NPI number for Jayaben Patel is 1316518079. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Jayaben Patel located?

Jayaben Patel practices at 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885. The listed phone number is (419) 394-9959.

What is Jayaben Patel's specialty?

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

Is Jayaben Patel enrolled in Medicare?

Yes. Jayaben 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 Jayaben Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jayaben 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 Jayaben Patel affiliated with any hospitals?

According to CMS data, Jayaben Patel is affiliated with Grand Lake Health System and Mercer County Joint Township Community Hospital.

When was this NPI record last updated?

The NPPES record for Jayaben Patel was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.