JINALBEN PRAVINKUMAR PATEL
NPI 1710445606
Physical Therapist in Stevens Point, WI
About Jinalben Pravinkumar Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JINALBEN PRAVINKUMAR PATEL (NPI 1710445606) is an individual physical therapist in Stevens Point, Wisconsin, licensed in Indiana (05013254A) and active in the NPI registry since March 2019. She maintains a secondary practice location in Fishers and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
Jinalben Pravinkumar Patel 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 Jinalben Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fishers, IN 46037
- Reassigned Medicare billing, Indiana enrollment
- 151 clinicians in this Medicare group
Indianapolis, IN 46241
- Reassigned Medicare billing, Indiana enrollment
- 317 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 54481 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jinalben Patel's NPI number?
The NPI number for Jinalben Patel is 1710445606. It was assigned to this individual provider in the NPPES registry on March 9, 2019.
Where is Jinalben Patel located?
Jinalben Patel practices at 825 Whiting Ave, Stevens Point, WI 54481. The listed phone number is (715) 346-1374.
What is Jinalben Patel's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jinalben Patel enrolled in Medicare?
Yes. Jinalben 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 Jinalben Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jinalben Patel reassigns Medicare benefits to 2 organizations: Creative Health Care Management LLC (Fishers, IN) and Advanced Physical Therapy, LLC (Indianapolis, IN). 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 Jinalben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jinalben Patel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jinalben 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 Jinalben Patel was last updated on September 20, 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.