DR. NISHA N PATEL MD FACOG
NPI 1609859578
Obstetrics & Gynecology in Marion, NC

Active since November 23, 2005PECOS Enrolled
96.6/100
CMS Quality Rating
472 RANKIN DR, MARION, NC 28752(828) 652-1400(828) 659-7829 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Nisha N Patel Md Facog NPPES

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

DR. NISHA N PATEL MD FACOG (NPI 1609859578) is an individual obstetrics & gynecology provider in Marion, North Carolina, licensed in North Carolina (28072) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609859578
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. NISHA N PATELCredential: MD FACOG
Location Address472 RANKIN DRMarion, NC 28752-6568
Mailing AddressPo Box 15268Asheville, NC 28813-0268 · (828) 250-2833 · Fax (828) 250-2932
Fax(828) 659-7829
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateFebruary 10, 2022
✔ NPI 1609859578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 28072✔ Licensed in CA · C51277✔ Licensed in NJ · 25MA06860400
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
472 RANKIN DR, Marion, NC 28752

Other Identifiers 2

Medicaid8965965NC
Other65965NC · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nisha N Patel Md Facog is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28752 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
472 RANKIN DR
MARION, NC 28752
Nurse Practitioner (Family)
472 RANKIN DR
MARION, NC 28752
Nurse Practitioner (Family)
472 RANKIN DR
MARION, NC 28752
Nurse Practitioner
472 RANKIN DR
MARION, NC 28752
Physician Assistant
472 RANKIN DR
MARION, NC 28752
Physician Assistant
472 RANKIN DR
MARION, NC 28752
Nurse Practitioner
472 RANKIN DR
MARION, NC 28752
Family Medicine
472 RANKIN DR
MARION, NC 28752

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 Nisha Patel's NPI number?

The NPI number for Nisha Patel is 1609859578. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Nisha Patel located?

Nisha Patel practices at 472 Rankin Dr, Marion, NC 28752. The listed phone number is (828) 652-1400.

What is Nisha Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nisha Patel enrolled in Medicare?

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

What insurance does Nisha Patel accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Nisha 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 Nisha Patel was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.