KRUTI PRAKASH PATEL DNP
NPI 1790240174
Nurse Practitioner in Jackson, MS

Q: What is Kruti Patel's NPI number?

The NPI number for Kruti Patel is 1790240174. It was assigned to this individual provider in the NPPES registry on February 9, 2019.

Q: What is Kruti Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kruti Patel was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 09, 2019PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

1225 N STATE ST, JACKSON, MS 39202(601) 664-1300 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2019, Feb 9, 2019 (2 updates tracked since 2019).

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About Kruti Prakash Patel Dnp NPPES

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

KRUTI PRAKASH PATEL DNP (NPI 1790240174) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (903021) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790240174

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRUTI PRAKASH PATELCredential: DNP

Location Address1225 N STATE STJackson, MS 39202-2064

Mailing AddressPo Box 2153 Dept 1947Birmingham, AL 35287-0002 · (601) 992-5532

Phone(601) 664-1300

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 9, 2019

Last NPPES UpdateApril 15, 20192 updates tracked since enumeration

✔ NPI 1790240174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 903021

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1225 N STATE ST, Jackson, MS 39202

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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

Kruti Prakash Patel Dnp 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 ID6507108156

PECOS Enrollment IDI20230309001622

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.

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

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Other Providers at the Same Location NPPES 20

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

HADEN DAVIS

Registered Nurse