Krishna Patel, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Bakersfield, CA

NPI 1023489366 · NPPES record last updated Jul 2, 2026

Key facts

NPI
1023489366
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
95007039 (CA)
Practice address
4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309-7024
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27710 Heartwood Dr
San Pedro, CA 90732-3600

4400 Bayou Blvd
32B
Pensacola, FL 32503-2691

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI, CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160926002384 MI Practitioner - Nurse Practitioner 3173810793 Reassigns benefits to 1 organization
I20260506001896 CA Practitioner - Nurse Practitioner 3173810793 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007039CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Current
since Aug 15, 2016
Accepting new patients
Michigan Healthcare Professionals PC Current
since Aug 15, 2016
Accepting new patients
Form Health Associates, P.C. Past Accepting new patients
Form Health Associates, P.C. Past Accepting new patients
Form Health Associates Ma, P.C. Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1060136 TX
Family Nurse Practitioner 363LF0000X 95007039 CA Yes
Registered Nurse 163W00000X 95293500 CA
Registered Nurse 163W00000X 939080 TX

Addresses

Primary practice location

4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309-7024

Mailing address

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

Other names

  • Krishna Narendrabhai Patel Former name

Other providers in Bakersfield, CA

All providers in Bakersfield, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.