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FALGUNI PATEL FNP-BC, PMHNP-BC
NPI 1801567615
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since September 22, 2021PECOS Enrolled
77.4/100
CMS Quality Rating
188 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 378-0178 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2025, Nov 2, 2021, Sep 22, 2021 (3 updates tracked since 2021).

About Falguni Patel Fnp-bc, Pmhnp-bc NPPES

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

FALGUNI PATEL FNP-BC, PMHNP-BC (NPI 1801567615) is an individual psychiatric/mental health provider in Frederick, Maryland, licensed in Maryland (R214491) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockville.

NPPES Registry Identity

NPI1801567615
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFALGUNI PATELCredential: FNP-BC, PMHNP-BC
Location Address188 THOMAS JOHNSON DRFrederick, MD 21702-4505
Mailing Address7955 Tuckerman LnRockville, MD 20854-3243 · (866) 389-2727
Phone(301) 378-0178
Sole ProprietorYes
Enumeration DateSeptember 22, 2021
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1801567615 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 MD · R214491
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R214491 (MD)
188 THOMAS JOHNSON DR, Frederick, MD 21702
Open in Google Maps ↗

Secondary Practice Location 1

Location 17955 Tuckerman LnRockville, MD 20854-3243 · Phone (866) 389-2727

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Falguni Patel Fnp-bc, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Falguni Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myk Psychiatry LLC
Same address
Family
188 THOMAS JOHNSON DR STE 202, UNIT 2B
Frederick, MD 21702
  • Reassigned Medicare billing, Maryland enrollment
  • 4 clinicians in this Medicare group
NPI 1538748470 (301) 378-0178
Minuteclinic LLC
31 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 168 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727
Grow Healthcare Group PA
956 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 7

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
27 services27 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.
24 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
16 services16 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 4

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

AAA PAIN MANAGEMENT
Pain Medicine (Pain Medicine)
188 THOMAS JOHNSON DR, 102
FREDERICK, MD 21702
Frederick County (301) 732-4154
ORTHOTIC SOLUTIONS, LLC
Specialist
188 THOMAS JOHNSON DR, SUITE 100
FREDERICK, MD 21702
Frederick County (301) 682-8712
DR. ERNESTO C TORRES M.D.
Pediatrics
188 THOMAS JOHNSON DR, SUITE 202
FREDERICK, MD 21702
Frederick County (301) 662-2252
PRAFULL K DAVE MD PA
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
188 THOMAS JOHNSON DR, SUITE 200
FREDERICK, MD 21702
Frederick County (301) 695-6556

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 Falguni Patel's NPI number?

The NPI number for Falguni Patel is 1801567615. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Falguni Patel located?

Falguni Patel practices at 188 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 378-0178.

What is Falguni Patel's specialty?

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

Is Falguni Patel enrolled in Medicare?

Yes. Falguni Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Falguni Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Falguni Patel reassigns Medicare benefits to 3 organizations: Myk Psychiatry LLC (Frederick, MD), Minuteclinic LLC (Rockville, MD) and Grow Healthcare Group PA (Miami, FL). 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 Falguni Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Falguni Patel was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.