PRITIBEN PATEL
NPI 1831072925
Nurse Practitioner in Powell, TN

Active since July 28, 2025PECOS EnrolledAccepts Medicare Assignment
7650 DANNAHER DR, POWELL, TN 37849(865) 637-8635 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pritiben Patel NPPES

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

PRITIBEN PATEL (NPI 1831072925) is an individual nurse practitioner in Powell, Tennessee, licensed in Tennessee (38658) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831072925
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePRITIBEN PATEL
Location Address7650 DANNAHER DRPowell, TN 37849-4065
Mailing Address7650 Dannaher Dr Ste 200Powell, TN 37849-4066 · (865) 637-8635
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2025
Last NPPES UpdateSeptember 21, 2025
NPPES CertifiedSeptember 21, 2025
✔ NPI 1831072925 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 TN · 38658
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.
7650 DANNAHER DR, Powell, TN 37849

Accepted Insurance

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

Pritiben 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 ID7315443884
PECOS Enrollment IDI20251002004651
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 Pritiben Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
7650 DANNAHER DR STE 200
Powell, TN 37849
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 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.

Hospital Affiliations CMS Care Compare 2

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

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37849 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

Nurse Practitioner (Family)
7650 DANNAHER DR
POWELL, TN 37849
Internal Medicine (Hematology & Oncology)
7650 DANNAHER DR
POWELL, TN 37849

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 Pritiben Patel's NPI number?

The NPI number for Pritiben Patel is 1831072925. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Pritiben Patel located?

Pritiben Patel practices at 7650 Dannaher Dr, Powell, TN 37849. The listed phone number is (865) 637-8635.

What is Pritiben Patel's specialty?

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

Is Pritiben Patel enrolled in Medicare?

Yes. Pritiben 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 Pritiben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pritiben Patel reassigns Medicare benefits to Renal Medical Associates PC (Powell, TN). 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 Pritiben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pritiben Patel accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Pritiben 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 Pritiben Patel affiliated with any hospitals?

According to CMS data, Pritiben Patel is affiliated with Physicians Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Pritiben Patel was last updated on September 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.