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NIHARIKA PATEL
NPI 1578328951
Nurse Practitioner - Women's Health in Gainesville, GA

Active since February 15, 2024PECOS Enrolled
1290 ATHENS ST, GAINESVILLE, GA 30507(770) 531-5600 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niharika Patel NPPES

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

NIHARIKA PATEL (NPI 1578328951) is an individual women's health provider in Gainesville, Georgia, licensed in Georgia (RN309856) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hudson, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578328951
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameNIHARIKA PATEL
Location Address1290 ATHENS STGainesville, GA 30507-7000
Mailing Address1290 Athens StGainesville, GA 30507-7000
Phone(770) 531-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 15, 2024
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1578328951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in GA · RN309856
1290 ATHENS ST, Gainesville, GA 30507
Open in Google Maps ↗

Secondary Practice Location 1

Location 12651 Hillcrest Dr Ste 105Hudson, WI 54016-9919 · Phone (715) 280-9151 · Fax (715) 280-9152

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4385127448
PECOS Enrollment IDI20260317001612, I20260602004473
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

2

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

Wellstar Medical Group, LLC
33 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Minnesota Oncology Hematology, PA
890 mi
Hematology & Oncology
2550 UNIVERSITY AVE W, SUITE 110N
Saint Paul, MN 55114
  • Reassigned Medicare billing, Wisconsin enrollment
  • 31 clinicians in this Medicare group
NPI 1528035995 (651) 602-5335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30507 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.

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.

CAROL SHULER SEABOLT
Nurse Practitioner (Women's Health)
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5600
HALL COUNTY HEALTH DEPARTMENT
Clinic/Center (Public Health, State or Local)
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 532-5344
SHEILA ANN RICKS
Registered Nurse
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5600
MRS. MARY BETH SWAN
Case Manager/Care Coordinator
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5600
HALLCOUNTY HEALTH DEPARTMENT
Clinic/Center (Public Health, State or Local)
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5641
SHERYL ANN MILLER LPN
Community Health Worker
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5691
MARY M HIGBY APRN, WHNP
Nurse Practitioner (Women's Health)
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5600
ANGELA REED TUGGLE LPN
Licensed Practical Nurse
1290 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5600

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 Niharika Patel's NPI number?

The NPI number for Niharika Patel is 1578328951. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Niharika Patel located?

Niharika Patel practices at 1290 Athens St, Gainesville, GA 30507. The listed phone number is (770) 531-5600.

What is Niharika Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Niharika Patel enrolled in Medicare?

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

Which organizations bill Medicare for Niharika Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niharika Patel reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Roswell, GA) and Minnesota Oncology Hematology, PA (Saint Paul, 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 Niharika Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niharika Patel accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield and HealthPartners list Niharika 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 Niharika Patel was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.