HETALI PATEL-FAZZOLARI
NPI 1609761642
Nurse Practitioner - Family in Chelmsford, MA

Q: What is Hetali Patel-fazzolari's NPI number?

The NPI number for Hetali Patel-fazzolari is 1609761642. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Hetali Patel-fazzolari's specialty?

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

Active since June 10, 2025PECOS EnrolledAccepts Medicare Assignment

290 LITTLETON RD UNIT 3, CHELMSFORD, MA 01824(978) 685-2460 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hetali Patel-fazzolari NPPES

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

HETALI PATEL-FAZZOLARI (NPI 1609761642) is an individual family provider in Chelmsford, Massachusetts, licensed in Massachusetts (RN23331371) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609761642

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHETALI PATEL-FAZZOLARI

Location Address290 LITTLETON RD UNIT 3Chelmsford, MA 01824-3429

Mailing Address290 Littleton Rd Unit 3Chelmsford, MA 01824-3429 · (978) 685-2460

Phone(978) 685-2460

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 10, 2025

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1609761642 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 MA · RN23331371

290 LITTLETON RD UNIT 3, Chelmsford, MA 01824

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hetali Patel-fazzolari 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 ID9638683006

PECOS Enrollment IDI20250708003181

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01824 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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.

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