KRUPALIBEN PATEL
NPI 1801597356
Nurse Practitioner in Santa Rosa, CA

Active since March 13, 2023PECOS EnrolledAccepts Medicare Assignment
392 TESCONI CT, SANTA ROSA, CA 95401(229) 740-5163 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2025, Mar 13, 2023 (2 updates tracked since 2023).

About Krupaliben Patel NPPES

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

KRUPALIBEN PATEL (NPI 1801597356) is an individual nurse practitioner in Santa Rosa, California, licensed in California (95034164) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801597356
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRUPALIBEN PATEL
Location Address392 TESCONI CTSanta Rosa, CA 95401-4653
Mailing Address392 Tesconi CtSanta Rosa, CA 95401-4653 · (229) 740-5163
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 13, 2023
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1801597356 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 CA · 95034164
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 ListedRegistered NurseTaxonomy 163W00000X · License 95333355 (CA), 1-185295 (AL)
392 TESCONI CT, Santa Rosa, CA 95401

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

Krupaliben 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 ID8921512443
PECOS Enrollment IDI20250708001792
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 Reassignment

Medicare enrollment records show Krupaliben Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
392 TESCONI CT
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 6

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

Anesthesiology (Pain Medicine)
392 TESCONI CT
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
392 TESCONI CT
SANTA ROSA, CA 95401
Specialist
392 TESCONI CT
SANTA ROSA, CA 95401
Nurse Practitioner
392 TESCONI CT
SANTA ROSA, CA 95401
Anesthesiology
392 TESCONI CT
SANTA ROSA, CA 95401
Anesthesiology (Pain Medicine)
392 TESCONI CT
SANTA ROSA, CA 95401

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 Krupaliben Patel's NPI number?

The NPI number for Krupaliben Patel is 1801597356. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Krupaliben Patel located?

Krupaliben Patel practices at 392 Tesconi Ct, Santa Rosa, CA 95401. The listed phone number is (229) 740-5163.

What is Krupaliben Patel's specialty?

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

Is Krupaliben Patel enrolled in Medicare?

Yes. Krupaliben 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 organization bills Medicare for Krupaliben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krupaliben Patel reassigns Medicare benefits to Summit Pain Alliance Inc (Santa Rosa, CA). The 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 Krupaliben 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 Krupaliben Patel was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.