VAISHALI PATEL PA
NPI 1366021230
Physician Assistant in Lebanon, TN

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
702 S CUMBERLAND ST, LEBANON, TN 37087(615) 444-2121 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2022, Sep 15, 2021, Apr 6, 2021 (3 updates tracked since 2021).

About Vaishali Patel Pa NPPES

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

VAISHALI PATEL PA (NPI 1366021230) is an individual physician assistant in Lebanon, Tennessee and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366021230
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVAISHALI PATELCredential: PA
Location Address702 S CUMBERLAND STLebanon, TN 37087-4110
Mailing Address702 S Cumberland StLebanon, TN 37087-4110 · (615) 444-2121
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 12, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1366021230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

702 S CUMBERLAND ST, Lebanon, TN 37087

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

Vaishali Patel Pa 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 ID6002285657
PECOS Enrollment IDI20221205000141
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.

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.
82 services41 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
49 services48 patients
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.
48 services48 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.
38 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 7

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

Physician Assistant
702 S CUMBERLAND ST
LEBANON, TN 37087
Physician Assistant
702 S CUMBERLAND ST
LEBANON, TN 37087
Nurse Practitioner (Family)
702 S CUMBERLAND ST
LEBANON, TN 37087
Nurse Practitioner (Family)
702 S CUMBERLAND ST
LEBANON, TN 37087
Physician Assistant
702 S CUMBERLAND ST
LEBANON, TN 37087
Clinic/Center (Urgent Care)
702 S CUMBERLAND ST
LEBANON, TN 37087
Nurse Practitioner (Family)
702 S CUMBERLAND ST
LEBANON, TN 37087

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 Vaishali Patel's NPI number?

The NPI number for Vaishali Patel is 1366021230. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Vaishali Patel located?

Vaishali Patel practices at 702 S Cumberland St, Lebanon, TN 37087. The listed phone number is (615) 444-2121.

What is Vaishali Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Vaishali Patel enrolled in Medicare?

Yes. Vaishali 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 Vaishali Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Vaishali 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 Vaishali Patel affiliated with any hospitals?

According to CMS data, Vaishali Patel is affiliated with Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Vaishali Patel was last updated on September 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.