MRS. SHIVANI MAHESH PATEL PA-C
NPI 1932631645
Physician Assistant - Medical in Jacksonville, FL

Q: What is Shivani Patel's NPI number?

The NPI number for Shivani Patel is 1932631645. It was assigned to this individual provider in the NPPES registry on March 31, 2017. The provider is also known as Shivaniben Mahesh Patel.

Q: What is Shivani Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shivani Patel was last updated on December 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment

10058 BAYMEADOWS RD, JACKSONVILLE, FL 32256(904) 636-5400(904) 928-0654 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2018, May 1, 2018, Mar 31, 2017 (3 updates tracked since 2017).

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About Mrs. Shivani Mahesh Patel Pa-c NPPES

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

MRS. SHIVANI MAHESH PATEL PA-C (NPI 1932631645) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9110263) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1932631645

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. SHIVANI MAHESH PATELCredential: PA-C

Location Address10058 BAYMEADOWS RDJacksonville, FL 32256-7177

Mailing Address10058 Baymeadows RdJacksonville, FL 32256-7177 · (904) 636-5400 · Fax (904) 928-0654

Phone(904) 636-5400

Fax(904) 928-0654

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 31, 2017

Last NPPES UpdateDecember 26, 20183 updates tracked since enumeration

✔ NPI 1932631645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9110263

10058 BAYMEADOWS RD, Jacksonville, FL 32256

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Other Names 1

Former Name (1)Shivaniben Mahesh Patel

Other Identifiers 2

Medicaid024771000FL

Medicaid018008600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.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

Mrs. Shivani Mahesh Patel Pa-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 ID9537414693

PECOS Enrollment IDI20180614001189

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 3

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.

79 services46 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100307

Location4201 Belfort RdJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 8

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

THUY-VI NGUYEN DE JESUS MSW

Social Worker (Clinical)