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HETAL PATEL FNP-C
NPI 1902343452
Nurse Practitioner - Family in Richmond, TX

Active since January 23, 2017PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
23419 LAKEWIND PARK LN, RICHMOND, TX 77407(713) 614-4003 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Jan 23, 2017 (2 updates tracked since 2017).

About Hetal Patel Fnp-c NPPES

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

HETAL PATEL FNP-C (NPI 1902343452) is an individual family provider in Richmond, Texas, licensed in Texas (AP131321) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Katy, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902343452
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHETAL PATELCredential: FNP-C
Location Address23419 LAKEWIND PARK LNRichmond, TX 77407-6439
Mailing Address23419 Lakewind Park LnRichmond, TX 77407-6439 · (713) 614-4003 · Fax (281) 239-0029
Phone(713) 614-4003
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1902343452 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 TX · AP131321
23419 LAKEWIND PARK LN, Richmond, TX 77407
Open in Google Maps ↗

Secondary Practice Location 1

Location 122915 Morton Ranch RdKaty, TX 77449-2159 · Phone (281) 574-0124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Hetal Patel Fnp-c 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 ID9638442163
PECOS Enrollment IDI20170906000843
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.
36 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77407 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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 Hetal Patel's NPI number?

The NPI number for Hetal Patel is 1902343452. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Hetal Patel located?

Hetal Patel practices at 23419 Lakewind Park Ln, Richmond, TX 77407. The listed phone number is (713) 614-4003.

What is Hetal Patel's specialty?

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

Is Hetal Patel enrolled in Medicare?

Yes. Hetal 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 Hetal Patel accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Hetal 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 Hetal Patel was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.