MRS. PRITI BABUBHAI PATEL NP
NPI 1851013189
Nurse Practitioner - Acute Care in Carmel, IN

Active since September 13, 2022PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
1119 KEYSTONE WAY STE 117C, CARMEL, IN 46032(317) 214-2100 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Priti Babubhai Patel Np NPPES

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

MRS. PRITI BABUBHAI PATEL NP (NPI 1851013189) is an individual acute care provider in Carmel, Indiana, licensed in Indiana (71013033A) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Noblesville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851013189
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. PRITI BABUBHAI PATELCredential: NP
Location Address1119 KEYSTONE WAY STE 117CCarmel, IN 46032-3356
Mailing Address10077 Pepper Tree LnNoblesville, IN 46060-1284 · (850) 319-4355
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1851013189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IN · 71013033A
1119 KEYSTONE WAY STE 117C, Carmel, IN 46032

Secondary Practice Location 1

Location 110077 Pepper Tree LnNoblesville, IN 46060-1284 · Phone (850) 319-4355

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

Mrs. Priti Babubhai Patel Np 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 ID7214312701
PECOS Enrollment IDI20220920001385
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

2

Medicare enrollment records show Priti Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
1260 CITY CENTER DR
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 9 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Indiana enrollment
  • 67 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 46032 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.94
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES

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

Family Medicine
1119 KEYSTONE WAY STE 117C
CARMEL, IN 46032

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 Priti Patel's NPI number?

The NPI number for Priti Patel is 1851013189. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Priti Patel located?

Priti Patel practices at 1119 Keystone Way Ste 117C, Carmel, IN 46032. The listed phone number is (317) 214-2100.

What is Priti Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Priti Patel enrolled in Medicare?

Yes. Priti 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 organizations bill Medicare for Priti Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priti Patel reassigns Medicare benefits to 2 organizations: Transcendent Physiatry And Rehabilitation LLC (Carmel, IN) and Midwest Post Acute Care PLLC (Chicago, IL). 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 Priti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priti Patel accept?

Health plans from CareSource and UnitedHealthcare list Priti 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 Priti Patel was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.