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DR. DHRUVI PATEL DNP,FNP-BC, PMHNP-BC
NPI 1750025276
Nurse Practitioner - Psychiatric/Mental Health in Durham, NC

Active since April 21, 2022PECOS EnrolledAccepts Medicare Assignment
5518 NC HIGHWAY 55, DURHAM, NC 27713(919) 870-8409 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2026, Mar 13, 2023, Apr 22, 2022 (3 updates tracked since 2022).

About Dr. Dhruvi Patel Dnp,fnp-bc, Pmhnp-bc NPPES

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

DR. DHRUVI PATEL DNP,FNP-BC, PMHNP-BC (NPI 1750025276) is an individual psychiatric/mental health provider in Durham, North Carolina, licensed in North Carolina (5016106) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750025276
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. DHRUVI PATELCredential: DNP,FNP-BC, PMHNP-BC
Location Address5518 NC HIGHWAY 55Durham, NC 27713-4473
Mailing Address5518 Nc Highway 55Durham, NC 27713-4473 · (919) 870-8409
Phone(919) 870-8409
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 21, 2022
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1750025276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5016106
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5016106 (NC)
5518 NC HIGHWAY 55, Durham, NC 27713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare and more.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

Dr. Dhruvi Patel Dnp,fnp-bc, Pmhnp-bc 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 ID5991188997
PECOS Enrollment IDI20220823002740
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 Dhruvi Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Generations Family Practice, PA
7.7 mi
Family Medicine
1021 DARRINGTON DR STE 101
Cary, NC 27513
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
NPI 1407902059 (919) 852-3999
Mona R Gupta, Do Incorporated
15 mi
Psychiatry
3801 BARRETT DR
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 24 clinicians in this Medicare group
NPI 1205134731 (919) 870-8409

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 4

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.
192 services105 patients
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.
62 services50 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.
53 services53 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 Dhruvi Patel's NPI number?

The NPI number for Dhruvi Patel is 1750025276. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Dhruvi Patel located?

Dhruvi Patel practices at 5518 Nc Highway 55, Durham, NC 27713. The listed phone number is (919) 870-8409.

What is Dhruvi Patel's specialty?

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

Is Dhruvi Patel enrolled in Medicare?

Yes. Dhruvi 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 Dhruvi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhruvi Patel reassigns Medicare benefits to 2 organizations: Generations Family Practice, PA (Cary, NC) and Mona R Gupta, Do Incorporated (Raleigh, NC). 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 Dhruvi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhruvi Patel accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Dhruvi 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 Dhruvi Patel was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.