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NISHABEN T. PATEL PMHNP-BC
NPI 1528611365
Nurse Practitioner - Psychiatric/Mental Health in Valdosta, GA

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
3120 NORTH OAK STREET EXTENSION, SUITE B, VALDOSTA, GA 31602(229) 671-6164(229) 671-6761 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 27, 2021, Nov 27, 2019, Jul 22, 2019 (3 updates tracked since 2019).

About Nishaben T. Patel Pmhnp-bc NPPES

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

NISHABEN T. PATEL PMHNP-BC (NPI 1528611365) is an individual psychiatric/mental health provider in Valdosta, Georgia, licensed in Georgia (RN243653) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528611365
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNISHABEN T. PATELCredential: PMHNP-BC
Location Address3120 NORTH OAK STREET EXTENSION, SUITE BValdosta, GA 31602
Mailing Address3120 North Oak Street Extension, Suite CValdosta, GA 31602 · (229) 671-6100
Phone(229) 671-6164
Fax(229) 671-6761
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 22, 2019
Last NPPES UpdateSeptember 27, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1528611365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN243653
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN243653 (GA)
3120 NORTH OAK STREET EXTENSION, SUITE B, Valdosta, GA 31602
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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

Nishaben T. Patel Pmhnp-bc 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 ID2860826476
PECOS Enrollment IDI20200107000511
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 Nishaben Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Services Of South Georgia
0.1 mi
Mental Health (Including Community Mental Health Center)
3120 N OAK STREET EXT STE C
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1801932371 (229) 671-6100

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 6

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
154 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services27 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
22 services14 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.
14 services14 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Nishaben Patel's NPI number?

The NPI number for Nishaben Patel is 1528611365. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Nishaben Patel located?

Nishaben Patel practices at 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602. The listed phone number is (229) 671-6164.

What is Nishaben Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nishaben Patel enrolled in Medicare?

Yes. Nishaben 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 Nishaben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishaben Patel reassigns Medicare benefits to Behavioral Health Services Of South Georgia (Valdosta, GA). 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 Nishaben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nishaben Patel was last updated on September 27, 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.