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NILABEN PATEL FNP-C
NPI 1629795414
Nurse Practitioner - Family in Indianapolis, IN

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
4880 CENTURY PLAZA RD STE 265, INDIANAPOLIS, IN 46254(317) 216-2700 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Oct 24, 2022 (2 updates tracked since 2022).

About Nilaben Patel Fnp-c NPPES

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

NILABEN PATEL FNP-C (NPI 1629795414) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71013198A) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629795414
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNILABEN PATELCredential: FNP-C
Location Address4880 CENTURY PLAZA RD STE 265Indianapolis, IN 46254-5471
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 216-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 24, 2022
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1629795414 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 IN · 71013198A
4880 CENTURY PLAZA RD STE 265, Indianapolis, IN 46254
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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 from Meridian, Ambetter Health and more.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

Nilaben Patel Fnp-c 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 ID3375912587
PECOS Enrollment IDI20221210000235
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

TIRU CHINTAN AMIN MD
Internal Medicine
4880 CENTURY PLAZA RD STE 265
INDIANAPOLIS, IN 46254
Marion County (317) 880-6050
DR. VIPIN JAIN M.D.
Family Medicine
4880 CENTURY PLAZA RD STE 265
INDIANAPOLIS, IN 46254
Marion County (317) 216-2700

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 Nilaben Patel's NPI number?

The NPI number for Nilaben Patel is 1629795414. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Nilaben Patel located?

Nilaben Patel practices at 4880 Century Plaza Rd Ste 265, Indianapolis, IN 46254. The listed phone number is (317) 216-2700.

What is Nilaben Patel's specialty?

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

Is Nilaben Patel enrolled in Medicare?

Yes. Nilaben 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.

What insurance does Nilaben Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Nilaben 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.

Is Nilaben Patel affiliated with any hospitals?

According to CMS data, Nilaben Patel is affiliated with Indiana University Health and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Nilaben Patel was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.