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NIRALI MUKESH PATEL FNP
NPI 1467062026
Nurse Practitioner - Family in Charlotte, NC

Active since August 07, 2020PECOS Enrolled
95.35/100
CMS Quality Rating
10650 PARK RD, STE 330, CHARLOTTE, NC 28210(704) 468-8877 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 9 more (12 updates tracked since 2020).

About Nirali Mukesh Patel Fnp NPPES

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

NIRALI MUKESH PATEL FNP (NPI 1467062026) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5013557) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467062026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIRALI MUKESH PATELCredential: FNP
Location Address10650 PARK RD, STE 330Charlotte, NC 28210-8538
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 468-8877
Sole ProprietorNo
Enumeration DateAugust 7, 2020
Last NPPES UpdateJuly 15, 202412 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1467062026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5013557
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5013557 (NC)
10650 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nirali Mukesh Patel Fnp 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.

Areas of Expertise CMS Part B claims 7

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
295 services172 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
280 services165 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
247 services150 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
87 services66 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.
73 services62 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers21 claims260 services$18.40 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers23 claims730 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims43 services$6.77 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
12 suppliers33 claims3,220 services$6.69 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
20 suppliers283 claims283 services$186.73 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 20

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

PULAK DILIPKUMAR PATEL
Family Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 302-8700
KATHRYN R. MARTIN NP
Nurse Practitioner
10650 PARK RD, STE 330
CHARLOTTE, NC 28210
Mecklenburg County (704) 468-8877
DR. WILLIAM E. BOBO M.D.
Radiology (Radiation Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 355-2736
JOLANTA JOZEFARA MD
Internal Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 302-8700
DR. STACEY ANN MAHADY D.O.
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 468-8857
RICHARD ALAN SHUGOLL MD
Internal Medicine (Cardiovascular Disease)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-3840
EKTA B. SHAH MD
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-3960
JANET ARRAZCAETA PHARMD
Pharmacist (Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (786) 218-7839

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 Nirali Patel's NPI number?

The NPI number for Nirali Patel is 1467062026. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Nirali Patel located?

Nirali Patel practices at 10650 Park Rd Ste 330, Charlotte, NC 28210. The listed phone number is (704) 468-8877.

What is Nirali Patel's specialty?

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

Is Nirali Patel enrolled in Medicare?

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

What insurance does Nirali Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Nirali 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 Nirali Patel was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.