Individual provider Active NPI

Priya Patel, RN, BSN, FNP

  • Family Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1073966230
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209033965 Issued in IL
Practice address
261 Dunn Rd
Florissant, MO 63031-7928
Phone
(314) 830-2600
Fax
(314) 830-2648
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209033965 IL Primary
Family Nurse Practitioner 363LF0000X 2018018070 MO

Addresses

Primary practice location

261 Dunn Rd
Florissant, MO 63031-7928

Mailing address

PO Box 650
Edwardsville, IL 62025-0650
Phone (314) 830-2600

Other practice location 1

2421 Corporate Ctr Ste 105
Granite City, IL 62040-4195
Phone (314) 830-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210211002405 MO Practitioner - Nurse Practitioner 3274948864 Reassigns benefits to 1 organization
I20260622002724 IL Practitioner - Nurse Practitioner 3274948864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2421 Corporate Ctr
Suite 105
Granite City, IL 62040-4195
Phone (314) 830-2600

261 Dunn Rd
Florissant, MO 63031-7928
Phone (314) 830-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209033965ILMDFamily Nurse Practitioner
2018018070MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Management Services LLC CurrentSince Nov 11, 2020 Accepting new patients
Interventional Pain Management Services LLC CurrentSince Nov 11, 2020 Accepting new patients

Locations

2421 Corporate Ctr
Ste 105
Granite City, IL 62040
Phone (314) 830-2600

261 Dunn Rd
Florissant, MO 63031
Phone (314) 270-9446

247 Dunn Rd
Florissant, MO 63031
Phone (314) 438-0700

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1073966230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250650",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317928",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 Corporate Ctr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404195",
            "country_code": "US",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209033965",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018018070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.