Individual provider Active NPI

Brinda Patel, NP

  • Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1790418960
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
269862 Issued in AZ
Practice address
9847 W White Feather LN
Peoria, AZ 85383-2928
Phone
(928) 899-3270
NPI assigned
Jul 6, 2022
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 269862 AZ Primary

Addresses

Primary practice location

9847 W White Feather LN
Peoria, AZ 85383-2928

Mailing address

9847 W White Feather LN
Peoria, AZ 85383-2928
Phone (928) 899-3270

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230414001631 AZ Practitioner - Nurse Practitioner 5799150272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of ArizonaGroup PAC ID 5496125569, 38 clinicians
CH Specialty Services Az LLCGroup PAC ID 7214301621, 17 clinicians

Practice addresses (Care Compare)

13755 N Litchfield Rd
Suite 105
Surprise, AZ 85379-4288
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269862AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Arizona CurrentSince Jul 23, 2024 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Dec 27, 2022 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Dec 27, 2022 Accepting new patients

Locations

13755 N Litchfield Rd
Ste 105
Surprise, AZ 85379
Phone (623) 248-7404

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1790418960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9847 W WHITE FEATHER LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832928",
            "telephone_number": "928-899-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 W WHITE FEATHER LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832928",
            "telephone_number": "928-899-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BRINDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "269862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.