HETAL PATEL FNP-C
NPI 1902343452
Nurse Practitioner - Family in Richmond, TX
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Hetal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Katy, TX 77449
- Reassigned Medicare billing, Texas enrollment
- 47 clinicians in this Medicare group
Magnolia, TX 77354
- Reassigned Medicare billing, Texas enrollment
- 101 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.
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.
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.
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.
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.
Which organizations bill Medicare for Hetal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hetal Patel reassigns Medicare benefits to 2 organizations: Medexpress Urgent Care Texas, P.A. (Katy, TX) and Houston Carenow Urgent Care PLLC (Magnolia, TX). 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 Hetal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hetal Patel accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers 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.