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MRS. KAROL PATEL ARNP
NPI 1336390046
Nurse Practitioner in Durham, NC

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
4022 STIRRUP CREEK DR, SUITE 315, DURHAM, NC 27703(919) 425-3000(919) 425-3001 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Karol Patel Arnp NPPES

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

MRS. KAROL PATEL ARNP (NPI 1336390046) is an individual nurse practitioner in Durham, North Carolina, licensed in Florida (ARNP 9230308) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1336390046
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KAROL PATELCredential: ARNP
Location Address4022 STIRRUP CREEK DR, SUITE 315Durham, NC 27703-9411
Mailing Address4022 Stirrup Creek Dr, Suite 315Durham, NC 27703 · (919) 425-3000 · Fax (919) 425-3001
Phone(919) 425-3000
Fax(919) 425-3001
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 1, 2008
Last NPPES UpdateOctober 23, 2013
✔ NPI 1336390046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP 9230308
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 5006510 (NC)
4022 STIRRUP CREEK DR, Durham, NC 27703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Mrs. Karol Patel Arnp 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 ID8527361476
PECOS Enrollment IDI20260106002478
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 Reassignment

Medicare enrollment records show Karol Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiothoracic & Vascular Surgical Associates PA
420 mi
Surgery
1824 KING ST STE 200
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group
NPI 1245111335 (850) 479-1805

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 27703 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

DR. MELANIE LEWIS EVANS PHARMD
Pharmacist (Pharmacotherapy)
4022 STIRRUP CREEK DR, STE 325
DURHAM, NC 27703
Durham County (919) 484-2229
MS. SANDRA J JOHNSON FNP-C
Nurse Practitioner (Adult Health)
4022 STIRRUP CREEK DR, SUITE 315
DURHAM, NC 27703
Durham County (919) 425-3000

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 Karol Patel's NPI number?

The NPI number for Karol Patel is 1336390046. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Karol Patel located?

Karol Patel practices at 4022 Stirrup Creek Dr Suite 315, Durham, NC 27703. The listed phone number is (919) 425-3000.

What is Karol Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karol Patel enrolled in Medicare?

Yes. Karol 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 Karol Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karol Patel reassigns Medicare benefits to Cardiothoracic & Vascular Surgical Associates PA (Jacksonville, FL). 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 Karol Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karol Patel accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Karol 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 Karol Patel was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.