Individual provider Active NPI

Mikira Patel, NP

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1598490781
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5016570 Issued in NC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-1570
NPI assigned
Jul 21, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5016570 NC Primary
Gerontology Nurse Practitioner 363LG0600X 5016570 NC
Primary Care Nurse Practitioner 363LP2300X 5016570 NC

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

724 Manassas Gap PL
Cary, NC 27519-9617
Phone (919) 624-9373

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
I20221101000797 NC Practitioner - Nurse Practitioner 6204203417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians

Practice addresses (Care Compare)

Raleigh, NC 27609
Phone (984) 328-7736

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5016570NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Oct 10, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 10, 2022 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 24, 2023 Accepting new patients
Ih Physician Services PC CurrentSince Apr 8, 2024 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Ih Physician Services, PC CurrentSince Apr 8, 2024 Accepting new patients
Ih Physician Services PC Past Accepting new patients

Locations

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 350-6002

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

4515 Falls of Neuse Rd
Ste 420
Raleigh, NC 27609
Phone (919) 877-9959

100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078

L2540
Columbus, OH 43260

Organizations & group practices 7

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1598490781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MANASSAS GAP PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199617",
            "telephone_number": "919-624-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MIKIRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5016570",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5016570",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5016570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.