MRS. PRINA PATEL APN, FNP-BC
NPI 1609427137
Nurse Practitioner in Palo Alto, CA
About Mrs. Prina Patel Apn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PRINA PATEL APN, FNP-BC (NPI 1609427137) is an individual nurse practitioner in Palo Alto, California, licensed in California (NP95029795) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elgin, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Mrs. Prina Patel Apn, Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Prina Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Elgin, IL 60123
- Reassigned Medicare billing, Illinois enrollment
- 235 clinicians in this Medicare group
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 94301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PALO ALTO, CA 94301
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 Prina Patel's NPI number?
The NPI number for Prina Patel is 1609427137. It was assigned to this individual provider in the NPPES registry on September 25, 2019.
Where is Prina Patel located?
Prina Patel practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-2972.
What is Prina Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Prina Patel enrolled in Medicare?
Yes. Prina 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 organizations bill Medicare for Prina Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prina Patel reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Palo Alto, CA) and Illinois Gastroenterology Group, LLC (Elgin, IL). 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 Prina Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prina Patel accept?
Health plans from Oscar Health list Prina 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 Prina Patel was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mrs. Prina Patel, APN, FNP-BC · NPI 1609427137
Nurse Practitioner physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since September 25, 2019.
## Identity
- **NPI:** 1609427137 (Entity type: Individual)
- **Enumerated:** September 25, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP95029795 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 795 EL CAMINO REAL, Palo Alto, CA 94301-2302
- **Phone:** (650) 853-2972
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA); Illinois Gastroenterology Group, LLC (NPI 1316277817, Elgin, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609427137) · Data from the CMS NPPES public registry.