Priyanka D Patel, DNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

245677 Issued in AZ

Practice address

637 E Main St
Mesa, AZ 85203-8791

Phone

(480) 272-8877

Fax

(480) 272-8998

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 1St Care Medical Clinic

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1407805088
  Medicare reassignment NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669074779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18810",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154083",
            "telephone_number": "480-272-8877",
            "fax_number": "480-272-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038791",
            "telephone_number": "480-272-8877",
            "fax_number": "480-272-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 W Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850218813",
            "country_code": "US",
            "telephone_number": "602-544-2273",
            "fax_number": "602-544-3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "middle_name": "D",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "245677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "245677",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menka Sanghvi Patel, M.D.
• Nachiket Patel, M.D.
• Nancy Kumari Viral Kumar Patel
• Neal Kalpesh Patel, DMD
• Nimesh Patel, OD
• Puja Patel
• Rajvee Patel, MD
• Raxitkumar Bhupendrakumar Patel, M.D.,
• Ruchi J. Patel, PSYD
• Ruchir Sureshbhai Patel, M.D.

• Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.