Individual provider Active NPI

Nidhi Devendrabhai Patel, AGACNP

  • Gerontology Nurse Practitioner
  • Newton, NC
National Provider Identifier
1265248041
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2023204837 Issued in NC
Practice address
3975 Robinson Rd
Newton, NC 28658-9715
Phone
(828) 466-0466
Fax
(828) 466-8862
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5021335 NC
Gerontology Nurse Practitioner 363LG0600X 2023204837 NC Primary

Addresses

Primary practice location

3975 Robinson Rd
Newton, NC 28658-9715

Mailing address

1870 Teachers House Rd NW
Concord, NC 28027-9812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address npatel@carolinacaring.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250412000144 NC Practitioner - Nurse Practitioner 4183148059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Carolina Caring Serious Illness LLCGroup PAC ID 1052846516, 27 clinicians
Carolina Caring Health Partners LLCGroup PAC ID 8820406143, 9 clinicians

Practice addresses (Care Compare)

3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5021335NCMDNurse Practitioner
2023204837NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Caring Serious Illness, LLC CurrentSince Feb 10, 2025 Accepting new patients
Carolina Caring Health Partners, LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

301 E Centerview St
China Grove, NC 28023
Phone (828) 466-0466

3975 Robinson Rd
Newton, NC 28658
Phone (828) 466-0466

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1265248041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 TEACHERS HOUSE RD NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIDHI",
        "middle_name": "DEVENDRABHAI",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021335",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "2023204837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npatel@carolinacaring.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3975 Robinson Rd",
            "city": "Newton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286589715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.