Individual provider Active NPI

Shradhdha Yatin Patel, CRNP

  • Family Nurse Practitioner
  • Jenkintown, PA
National Provider Identifier
1194099283
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011788 Issued in PA
Practice address
835 Old York Rd
Jenkintown, PA 19046-1601
Phone
(215) 886-2923
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011788 PA Primary

Addresses

Primary practice location

835 Old York Rd
Jenkintown, PA 19046-1601

Mailing address

835 Old York Rd
Jenkintown, PA 19046-1601
Phone (215) 886-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160115000629 PA Practitioner - Nurse Practitioner 3173826658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians

Practice addresses (Care Compare)

6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011788PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Oct 6, 2020 Accepting new patients

Locations

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

835 Old York Rd
Jenkintown, PA 19046
Phone (215) 277-9003

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

6501 Harbison Ave
Philadelphia, PA 19149
Phone (215) 268-1164

1034 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-4060

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1194099283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 OLD YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461601",
            "telephone_number": "215-886-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 OLD YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461601",
            "telephone_number": "215-886-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRADHDHA",
        "middle_name": "YATIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.