Individual provider Active NPI

Krishan Patel, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Saint Johns, FL
National Provider Identifier
1659266237
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040134 Issued in FL
Practice address
130 N Big Cypress Dr Apt 351
St Johns, FL 32259-1963
Phone
(408) 836-6726
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 11040134 FL Primary

Addresses

Primary practice location

130 N Big Cypress Dr Apt 351
St Johns, FL 32259-1963

Mailing address

130 N Big Cypress Dr Apt 351
St Johns, FL 32259-1963
Phone (408) 836-6726

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
I20250722000127 FL Practitioner - Nurse Practitioner 2668988205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4796 Hodges Blvd
Suite 101
Jacksonville, FL 32224-2209
Phone (904) 449-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040134FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Institute of Pain Medicine LLC CurrentSince Jul 1, 2025 Accepting new patients
Florida Institute of Pain Medicine LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

859 Park Ave
Ste 102
Orange Park, FL 32073
Phone (904) 278-7411

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

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 6

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1659266237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BIG CYPRESS DR APT 351",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322591963",
            "telephone_number": "408-836-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BIG CYPRESS DR APT 351",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322591963",
            "telephone_number": "408-836-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHAN",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.