Individual provider Active NPI

Shivani Patel

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1609660018
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN309391 Issued in GA
Practice address
4012 Kelcey CT Ste 203
Tallahassee, FL 32308-5986
Phone
(850) 354-8387
Fax
(850) 329-7878
NPI assigned
Apr 9, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 RN309391 GA Primary

Addresses

Primary practice location

4012 Kelcey CT Ste 203
Tallahassee, FL 32308-5986

Mailing address

4012 Kelcey CT Ste 203
Tallahassee, FL 32308-5986
Phone (850) 354-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251212000165 FL Practitioner - Nurse Practitioner 3375037724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Enhanced Care PAGroup PAC ID 5092049296, 4 clinicians

Practice addresses (Care Compare)

4012 Kelcey CT
Suite 203
Tallahassee, FL 32308-5986
Phone (850) 354-8387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN309391GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Enhanced Care PA CurrentSince Oct 22, 2025 Accepting new patients

Locations

4012 Kelcey Ct
Ste 203
Tallahassee, FL 32308
Phone (850) 354-8387

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, 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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1609660018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 KELCEY CT STE 203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085986",
            "telephone_number": "850-354-8387",
            "fax_number": "850-329-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 KELCEY CT STE 203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085986",
            "telephone_number": "850-354-8387",
            "fax_number": "850-329-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN309391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.