Active NPI
Krishan Patel, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Saint Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11040134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11040134 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Institute of Pain Medicine LLC | Current | Accepting new patients | |
| Florida Institute of Pain Medicine LLC | Current | 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.
-
dba Florida Pain Physicians
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1194056283
-
dba Florida Pain Physicians
- Interventional Pain Medicine Physician
- Palm Coast, FL
- NPI 1144913666
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
dba Ascension St Vincent's St. Johns County
- General Acute Care Hospital
- Saint Johns, FL
- NPI 1861078651
-
dba Ascension St. Vincent's Riverside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
dba Ascension St Vincent's Riverside
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.