Individual provider Active NPI

Payal Patel, PA-C

  • Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1669292330
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
145 NW Central Park PLZ Ste 200
Port Saint Lucie, FL 34986-2482
Phone
(772) 303-1987
Fax
(772) 303-1987
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Physician Assistant 363A00000X PA9119384 FL

Addresses

Primary practice location

145 NW Central Park PLZ Ste 200
Port Saint Lucie, FL 34986-2482

Mailing address

145 NW Central Park PLZ Ste 200
Port Saint Lucie, FL 34986-2482
Phone (561) 329-4519

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
I20241217004403 FL Practitioner - Physician Assistant 2062949852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Medical and Health Services LLCGroup PAC ID 4981097318, 18 clinicians

Practice addresses (Care Compare)

10 SE Central Pkwy
Suite 101
Stuart, FL 34994-5914
Phone (772) 497-5895

145 NW Central Park PLZ
Suite 200
Port St Lucie, FL 34986-2482
Phone (772) 497-5985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1669292330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NW CENTRAL PARK PLZ STE 200",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862482",
            "telephone_number": "561-329-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NW CENTRAL PARK PLZ STE 200",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862482",
            "telephone_number": "772-303-1987",
            "fax_number": "772-303-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.