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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHILPA PATEL NP
NPI 1891565487
Nurse Practitioner - Family in El Cajon, CA

Active since January 04, 2024PECOS Enrolled
1391 E MADISON AVE, EL CAJON, CA 92021(872) 231-3162(702) 977-1496 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jan 4, 2024 (2 updates tracked since 2024).

About Shilpa Patel Np NPPES

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

SHILPA PATEL NP (NPI 1891565487) is an individual family provider in El Cajon, California, licensed in California (95028035) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Cajon, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891565487
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHILPA PATELCredential: NP
Location Address1391 E MADISON AVEEl Cajon, CA 92021-8568
Mailing AddressPo Box 7410882Chicago, IL 60674-0884
Phone(872) 231-3162
Fax(702) 977-1496
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 4, 2024
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1891565487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95028035
1391 E MADISON AVE, El Cajon, CA 92021
Open in Google Maps ↗

Secondary Practice Location 1

Location 1622 S Anza StEl Cajon, CA 92020-6602 · Phone (872) 231-3162 · Fax (702) 977-1496

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

Shilpa 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 ID1557713989
PECOS Enrollment IDI20241011003851
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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
280 services102 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
73 services41 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
60 services30 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92021 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 4

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

KOA HOLDINGS, LLC
Skilled Nursing Facility
1391 E MADISON AVE
EL CAJON, CA 92021
San Diego County (619) 444-1107
MADISON CARE CENTER, LLC
Skilled Nursing Facility
1391 E MADISON AVE
EL CAJON, CA 92021
San Diego County (619) 444-1107
DR. KATHERINE RODRIGUEZ PSY.D.
Psychologist (Clinical)
1391 E MADISON AVE
EL CAJON, CA 92021
San Diego County (619) 722-0014
MISS TAMARA SELINA MCMILLAN MSN, RN, AGACNP-BC
Nurse Practitioner
1391 E MADISON AVE
EL CAJON, CA 92021
San Diego County (619) 444-1107

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 Shilpa Patel's NPI number?

The NPI number for Shilpa Patel is 1891565487. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Shilpa Patel located?

Shilpa Patel practices at 1391 E Madison Ave, El Cajon, CA 92021. The listed phone number is (872) 231-3162.

What is Shilpa Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shilpa Patel enrolled in Medicare?

Yes. Shilpa 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.

When was this NPI record last updated?

The NPPES record for Shilpa Patel was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.