CHANDNI PATEL
NPI 1790322345
Nurse Practitioner in Middletown, DE

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
85.92/100
CMS Quality Rating
102 SLEEPY HOLLOW DR, MIDDLETOWN, DE 19709(302) 364-2000 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2021, Dec 3, 2019 (2 updates tracked since 2019).

About Chandni Patel NPPES

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

CHANDNI PATEL (NPI 1790322345) is an individual nurse practitioner in Middletown, Delaware, licensed in Delaware (LG-0011487) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hillsborough, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790322345
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHANDNI PATEL
Location Address102 SLEEPY HOLLOW DRMiddletown, DE 19709-5841
Mailing Address102 Sleepy Hollow DrMiddletown, DE 19709-5841
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 3, 2019
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
NPI 1790322345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in DE · LG-0011487
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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00989900 (NJ)
102 SLEEPY HOLLOW DR, Middletown, DE 19709

Secondary Practice Location 1

Location 1105 Raider Blvd Ste 203Hillsborough, NJ 08844-1528 · Phone (908) 359-8980

Accepted 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

Chandni 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.

PECOS PAC ID3476970195
PECOS Enrollment IDI20240709004505
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 17

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
828 services193 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.
470 services412 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
293 services255 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.
289 services255 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
176 services165 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
104 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

85.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost53.06

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
102 SLEEPY HOLLOW DR, SUITE 200
MIDDLETOWN, DE 19709
Clinic/Center (Mental Health (Including Community Mental Health Center))
102 SLEEPY HOLLOW DR, SUITE 204 BUNKER HILL BUILDING
MIDDLETOWN, DE 19709
Chiropractor
102 SLEEPY HOLLOW DR, SUITE 200
MIDDLETOWN, DE 19709
Internal Medicine (Adolescent Medicine)
102 SLEEPY HOLLOW DR, SUITE 200
MIDDLETOWN, DE 19709
Clinic/Center (Primary Care)
102 SLEEPY HOLLOW DR, SUITE 101
MIDDLETOWN, DE 19709
Social Worker (Clinical)
102 SLEEPY HOLLOW DR, SUITE 103
MIDDLETOWN, DE 19709
Internal Medicine
102 SLEEPY HOLLOW DR, SUITE 101
MIDDLETOWN, DE 19709
Clinic/Center (Medical Specialty)
102 SLEEPY HOLLOW DR, SUITE 101
MIDDLETOWN, DE 19709

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 Chandni Patel's NPI number?

The NPI number for Chandni Patel is 1790322345. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Chandni Patel located?

Chandni Patel practices at 102 Sleepy Hollow Dr, Middletown, DE 19709. The listed phone number is (302) 364-2000.

What is Chandni Patel's specialty?

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

Is Chandni Patel enrolled in Medicare?

Yes. Chandni 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 Chandni Patel accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Chandni 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 Chandni Patel was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.