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SHILPABEN K PATEL
NPI 1417508417
Nurse Practitioner - Family in Grand Blanc, MI

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
6062 QUARTZ LN, GRAND BLANC, MI 48439(201) 682-1408 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2021, Sep 23, 2019 (2 updates tracked since 2019).

About Shilpaben K Patel NPPES

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

SHILPABEN K PATEL (NPI 1417508417) is an individual family provider in Grand Blanc, Michigan, licensed in Michigan (4704307988) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension Genesys Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417508417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHILPABEN K PATEL
Location Address6062 QUARTZ LNGrand Blanc, MI 48439-7822
Mailing Address6062 Quartz LnGrand Blanc, MI 48439-7822 · (201) 682-1408
Phone(201) 682-1408
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2019
Last NPPES UpdateJuly 25, 20212 updates tracked since enumeration
NPPES CertifiedJuly 25, 2021
✔ NPI 1417508417 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 MI · 4704307988
6062 QUARTZ LN, Grand Blanc, MI 48439
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.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

Shilpaben K Patel 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 ID4789019738
PECOS Enrollment IDI20200121001568
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 2

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 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.
468 services176 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.
77 services72 patients

Hospital Affiliations CMS Care Compare

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

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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 Shilpaben Patel's NPI number?

The NPI number for Shilpaben Patel is 1417508417. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Shilpaben Patel located?

Shilpaben Patel practices at 6062 Quartz Ln, Grand Blanc, MI 48439. The listed phone number is (201) 682-1408.

What is Shilpaben Patel's specialty?

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

Is Shilpaben Patel enrolled in Medicare?

Yes. Shilpaben 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 Shilpaben Patel accept?

Health plans from McLaren Health Plan Community list Shilpaben 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 Shilpaben Patel affiliated with any hospitals?

According to CMS data, Shilpaben Patel is affiliated with Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Shilpaben Patel was last updated on July 25, 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.