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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NINABEN PATEL PMHNP
NPI 1699417857
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Active since April 08, 2022PECOS Enrolled
5 COMPUTER DR W STE 100-10, ALBANY, NY 12205(518) 815-8117 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2026, Apr 8, 2022 (2 updates tracked since 2022).

About Ninaben Patel Pmhnp NPPES

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

NINABEN PATEL PMHNP (NPI 1699417857) is an individual psychiatric/mental health provider in Albany, New York, licensed in Pennsylvania (SP025512) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in King Of Prussia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699417857
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNINABEN PATELCredential: PMHNP
Location Address5 COMPUTER DR W STE 100-10Albany, NY 12205-1613
Mailing Address5738 Shetland CtBensalem, PA 19020-2225
Phone(518) 815-8117
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2022
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1699417857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in PA · SP025512✔ Licensed in NY · 409180
5 COMPUTER DR W STE 100-10, Albany, NY 12205
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Secondary Practice Location 1

Location 1150 S Warner Rd Ste 130King Of Prussia, PA 19406-2830 · Phone (610) 510-4881

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

Ninaben Patel Pmhnp 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 ID1951788918
PECOS Enrollment IDI20220512000358
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 Ninaben Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

2 Crows LLC
200 mi
Psychiatry
150 S WARNER RD STE 130
King Of Prussia, PA 19406
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 14 clinicians in this Medicare group
NPI 1134789662 (610) 510-4881
Eastern Pennsylvania Physician Alliance LLC
306 mi
Neurology
2 HOSPITAL DR
Clarion, PA 16214
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 142 clinicians in this Medicare group
NPI 1902440621 (814) 226-9545

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

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 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.
55 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
48 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Ninaben Patel's NPI number?

The NPI number for Ninaben Patel is 1699417857. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Ninaben Patel located?

Ninaben Patel practices at 5 Computer Dr W Ste 100-10, Albany, NY 12205. The listed phone number is (518) 815-8117.

What is Ninaben Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ninaben Patel enrolled in Medicare?

Yes. Ninaben 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 Ninaben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ninaben Patel reassigns Medicare benefits to 2 organizations: 2 Crows LLC (King Of Prussia, PA) and Eastern Pennsylvania Physician Alliance LLC (Clarion, PA). 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 Ninaben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ninaben Patel was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.