Individual provider Active NPI

Hetalben N Patel, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IN
National Provider Identifier
1598426595
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28224784A Issued in IN
Practice address
1051 Southfield Dr
Plainfield, IN 46168-2955
Phone
(844) 991-9900
Fax
(212) 243-1099
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28224784A IN Primary

Addresses

Primary practice location

1051 Southfield Dr
Plainfield, IN 46168-2955

Mailing address

1051 Southfield Dr
Plainfield, IN 46168-2955
Phone (844) 991-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220211000485 IN Practitioner - Nurse Practitioner 0244623445 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28224784AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valle Vista LLC CurrentSince Jan 21, 2023 Accepting new patients
Valle Vista, LLC CurrentSince Jan 21, 2023 Accepting new patients

Locations

898 E Main St
Greenwood, IN 46143
Phone (317) 887-1348

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1598426595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SOUTHFIELD DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682955",
            "telephone_number": "844-991-9900",
            "fax_number": "212-243-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SOUTHFIELD DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682955",
            "telephone_number": "844-991-9900",
            "fax_number": "212-243-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HETALBEN",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28224784A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.