1. Home
  2. Directory
  3. Michigan
  4. Canton
  5. Nurse Practitioner
  6. NPI Profile

NIBHA HETALBHAI PATEL
NPI 1912617200
Nurse Practitioner - Family in Canton, MI

Active since November 28, 2022PECOS EnrolledAccepts Medicare Assignment
8581 ELMONT CIR, CANTON, MI 48187(734) 788-6918 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nibha Hetalbhai Patel NPPES

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

NIBHA HETALBHAI PATEL (NPI 1912617200) is an individual family provider in Canton, Michigan, licensed in Michigan (4704333458) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912617200
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIBHA HETALBHAI PATEL
Location Address8581 ELMONT CIRCanton, MI 48187-1357
Mailing Address8581 Elmont CirCanton, MI 48187-1357 · (734) 788-6918
Phone(734) 788-6918
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
✔ NPI 1912617200 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 MI · 4704333458
8581 ELMONT CIR, Canton, MI 48187
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.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

Nibha Hetalbhai Patel 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 ID648637462
PECOS Enrollment IDI20230608002718
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 Nibha Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical
11 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Midwest H PLLC
11 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
438 services76 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
179 services49 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
49 services33 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Nibha Patel's NPI number?

The NPI number for Nibha Patel is 1912617200. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Nibha Patel located?

Nibha Patel practices at 8581 Elmont Cir, Canton, MI 48187. The listed phone number is (734) 788-6918.

What is Nibha Patel's specialty?

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

Is Nibha Patel enrolled in Medicare?

Yes. Nibha 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 Nibha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nibha Patel reassigns Medicare benefits to 2 organizations: Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest H PLLC (Novi, MI). 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 Nibha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nibha Patel accept?

Health plans from Blue Care Network of Michigan and Priority Health list Nibha 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 Nibha Patel was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.