PAYAL M PATEL APRN
NPI 1790674869
Nurse Practitioner - Women's Health in Lexington, KY

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment
1720 NICHOLASVILLE RD STE 702, LEXINGTON, KY 40503(859) 264-8811 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Payal M Patel Aprn NPPES

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

PAYAL M PATEL APRN (NPI 1790674869) is an individual women's health provider in Lexington, Kentucky, licensed in Kentucky (4038657) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790674869
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NamePAYAL M PATELCredential: APRN
Location Address1720 NICHOLASVILLE RD STE 702Lexington, KY 40503-1489
Mailing Address1720 Nicholasville Rd Ste 702Lexington, KY 40503-1489 · (859) 264-8811
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1790674869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in KY · 4038657
1720 NICHOLASVILLE RD STE 702, Lexington, KY 40503

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

Payal M Patel Aprn 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 ID1254834278
PECOS Enrollment IDI20250915000090
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.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 14

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

Advanced Practice Midwife
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Advanced Practice Midwife
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Obstetrics & Gynecology
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Obstetrics & Gynecology (Gynecology)
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503
Advanced Practice Midwife
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503

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 Payal Patel's NPI number?

The NPI number for Payal Patel is 1790674869. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Payal Patel located?

Payal Patel practices at 1720 Nicholasville Rd Ste 702, Lexington, KY 40503. The listed phone number is (859) 264-8811.

What is Payal Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Payal Patel enrolled in Medicare?

Yes. Payal 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 Payal Patel accept?

Health plans from CareSource list Payal 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.

Is Payal Patel affiliated with any hospitals?

According to CMS data, Payal Patel is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.