HAYLEY STARR PATEL NP
NPI 1396373932
Nurse Practitioner in Duluth, MN

Active since March 30, 2020PECOS Enrolled
1001 E SUPERIOR ST, DULUTH, MN 55802(218) 249-5555 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2025, Jan 30, 2023, Mar 30, 2020 (3 updates tracked since 2020).

About Hayley Starr Patel Np NPPES

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

HAYLEY STARR PATEL NP (NPI 1396373932) is an individual nurse practitioner in Duluth, Minnesota, licensed in Minnesota (7702) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396373932
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHAYLEY STARR PATELCredential: NP
Location Address1001 E SUPERIOR STDuluth, MN 55802-2207
Mailing Address915 E 1st StDuluth, MN 55805-2107 · (218) 249-5555
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1396373932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MN · 7702✔ Licensed in MN · 0284554
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.
1001 E SUPERIOR ST, Duluth, MN 55802

Other Names 1

Former Name (1)Hayley Starr Gifford

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayley Starr Patel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Hayley Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1001 E SUPERIOR ST STE 301
Duluth, MN 55802
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
Primary Care
100 EVERGREEN SQ SW
Pine City, MN 55063
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Specialist
5200 FAIRVIEW BLVD
Wyoming, MN 55092
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
5200 FAIRVIEW BLVD
Wyoming, MN 55092
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Physician Assistant
1001 E SUPERIOR ST, SUITE L201
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Internal Medicine (Hematology & Oncology)
1001 E SUPERIOR ST, STE. L101
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, STE L401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE. 201
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST, DULUTH
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE, L201
DULUTH, MN 55802

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 Hayley Patel's NPI number?

The NPI number for Hayley Patel is 1396373932. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Hayley Starr Gifford.

Where is Hayley Patel located?

Hayley Patel practices at 1001 E Superior St, Duluth, MN 55802. The listed phone number is (218) 249-5555.

What is Hayley Patel's specialty?

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

Is Hayley Patel enrolled in Medicare?

Yes. Hayley Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hayley Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Patel reassigns Medicare benefits to 4 organizations: St. Luke's Hospital Of Duluth (Duluth, MN), Fairview Clinics (Pine City, MN), Fairview Express Care (Wyoming, MN) and Fairview Health Services (Wyoming, MN). 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 Hayley Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayley Patel accept?

Health plans from HealthPartners list Hayley 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 Hayley Patel was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.