NISHA LALIT PATEL P.A.
NPI 1881928810
Physician Assistant in Fayetteville, NC

Active since September 23, 2009PECOS EnrolledAccepts Medicare Assignment
1074 SOUTHERN AVE, FAYETTEVILLE, NC 28306(910) 489-1326(866) 488-6433 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2019, Jun 19, 2019 (2 updates tracked since 2019).

About Nisha Lalit Patel P.a. NPPES

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

NISHA LALIT PATEL P.A. (NPI 1881928810) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-03858) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881928810
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNISHA LALIT PATELCredential: P.A.
Location Address1074 SOUTHERN AVEFayetteville, NC 28306-1766
Mailing AddressPo Box 727Stedman, NC 28391-0727 · (910) 489-1326 · Fax (866) 488-6433
Fax(866) 488-6433
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 23, 2009
Last NPPES UpdateDecember 5, 20192 updates tracked since enumeration
NPI 1881928810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-03858
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA054010 (PA)
1074 SOUTHERN AVE, Fayetteville, NC 28306

Secondary Practice Locations 2

Location 1620 Howard AveAltoona, PA 16601-4804 · Phone (814) 946-2223 · Fax (814) 889-6785
Location 21515 Sunset AveClinton, NC 28328-3827 · Phone (910) 489-9418 · Fax (866) 488-6433

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

Nisha Lalit Patel P.a. 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 ID2769529080
PECOS Enrollment IDI20121218000096
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.

Areas of Expertise CMS Part B claims

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.

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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28306 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 7

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

Clinic/Center (Primary Care)
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Nurse Practitioner (Family)
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Nurse Practitioner (Family)
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Clinic/Center (Primary Care)
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Nurse Practitioner (Family)
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Nurse Practitioner (Adult Health)
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Physician Assistant
1074 SOUTHERN AVE
FAYETTEVILLE, NC 28306

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 Nisha Patel's NPI number?

The NPI number for Nisha Patel is 1881928810. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Nisha Patel located?

Nisha Patel practices at 1074 Southern Ave, Fayetteville, NC 28306. The listed phone number is (910) 489-1326.

What is Nisha Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nisha Patel enrolled in Medicare?

Yes. Nisha 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 Nisha Patel accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Nisha 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 Nisha Patel affiliated with any hospitals?

According to CMS data, Nisha Patel is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nisha Patel was last updated on December 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.