Individual provider Active NPI

Hinal Patel, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1104410042
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
257365 Issued in AZ
Practice address
1840 E Broadway Rd
Tempe, AZ 85282-1614
Phone
(602) 243-7277
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 257365 AZ Primary
Family Nurse Practitioner 363LF0000X RN290079 GA

Addresses

Primary practice location

1840 E Broadway Rd
Tempe, AZ 85282-1614

Mailing address

3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
Phone (714) 204-5615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 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
I20210520002213 GA Practitioner - Nurse Practitioner 8729487970 Reassigns benefits to 1 organization
I20210614002116 AZ Practitioner - Nurse Practitioner 8729487970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

1840 E Broadway Rd
Tempe, AZ 85282-1614
Phone (602) 243-7277

3830 E Van Buren St
Phoenix, AZ 85008-6920
Phone (602) 243-7277

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN290079GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Jun 21, 2021 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Feb 23, 2021 Accepting new patients
Mountain Park Health Center CurrentSince Jun 21, 2021 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

6975 W Glendale Ave
Glendale, AZ 85303
Phone (480) 729-0905

140 N Litchfield Rd
Ste 200106
Goodyear, AZ 85338
Phone (623) 936-6795

1300 N 48th St
Phoenix, AZ 85008
Phone (480) 882-5917

635 E Baseline Rd
Phoenix, AZ 85042

3830 E Van Buren St
Phoenix, AZ 85008
Phone (602) 806-6655

303 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 277-6181

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

5517 N 17th Ave
Phoenix, AZ 85015
Phone (602) 242-7717

6601 W Thomas Rd
Phoenix, AZ 85033

1840 E Broadway Rd
Tempe, AZ 85282
Phone (602) 323-3444

865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1104410042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122908",
            "telephone_number": "714-204-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821614",
            "telephone_number": "602-243-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HINAL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257365",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN290079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.