KRUPALI PATEL FNP
NPI 1568136745
Nurse Practitioner - Family in North Wales, PA

Q: What is Krupali Patel's NPI number?

The NPI number for Krupali Patel is 1568136745. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Krupali Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krupali Patel was last updated on August 2, 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.

Active since August 02, 2021PECOS Enrolled

1425 HORSHAM RD, NORTH WALES, PA 19454(215) 371-3000 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Krupali Patel Fnp NPPES

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

KRUPALI PATEL FNP (NPI 1568136745) is an individual family provider in North Wales, Pennsylvania, licensed in Pennsylvania (SP024145) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568136745

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRUPALI PATELCredential: FNP

Location Address1425 HORSHAM RDNorth Wales, PA 19454-1320

Mailing Address2603 Elroy Rd Apt A8Hatfield, PA 19440-3906 · (551) 208-4036

Phone(215) 371-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 2, 2021

NPPES CertifiedAugust 2, 2021

✔ NPI 1568136745 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 PA · SP024145

1425 HORSHAM RD, North Wales, PA 19454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krupali Patel Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012312515

PECOS Enrollment IDI20210821000117

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

Medicare enrollment records show Krupali Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellness Medical Services LLC

0.1 mi

Geriatric Medicine

1427 HORSHAM RD
North Wales, PA 19454

Reassigned Medicare billing, Pennsylvania enrollment
21 clinicians in this Medicare group

NPI 1649926049 (215) 326-9065

Rite Med Group Of PA PLLC

27 mi

Internal Medicine

2232 29TH ST SW
Allentown, PA 18103

Reassigned Medicare billing, Pennsylvania enrollment
18 clinicians in this Medicare group

NPI 1962118000 (610) 797-4651

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

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,385 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19454 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier33 claims1,050 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$26.02 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.

ABRAMSON AT HOME, LLC

Skilled Nursing Facility