NPIMap

Individual provider Active NPI

Nisha Lalit Patel, P.A.

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1881928810
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03858 Issued in NC
Practice address
1074 Southern Ave
Fayetteville, NC 28306-1766
Phone
(910) 489-1326
Fax
(866) 488-6433
NPI assigned
Sep 23, 2009
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 0010-03858 NC Primary
Medical Physician Assistant 363AM0700X MA054010 PA

Addresses

Primary practice location

1074 Southern Ave
Fayetteville, NC 28306-1766

Mailing address

PO Box 727
Stedman, NC 28391-0727
Phone (910) 489-1326

Other practice location 1

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 946-2223

Other practice location 2

3186 Village Dr Ste 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

Other practice location 3

1515 Sunset Ave
Clinton, NC 28328-3827
Phone (910) 489-9418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000096 NC Practitioner - Physician Assistant 2769529080 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Robeson St
Fayetteville, NC 28301-5520

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jun 10, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 2, 2014 Accepting new patients
Cfvhs Ed Physicians CurrentSince Apr 15, 2014 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 2, 2014 Accepting new patients
Simpleclinic PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

101 Robeson St
Ste 200
Fayetteville, NC 28301
Phone (910) 323-2696

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

6387 Ramsey St
Unit 100
Fayetteville, NC 28311
Phone (910) 615-3879

300 Medical Pavilion Dr
#15
Raeford, NC 28376
Phone (910) 904-8020

Interoperability endpoints

  • Direct secure messaging: npatel10850@capefearvalley.direct-ci.com

Organizations & group practices 10

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1881928810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283910727",
            "telephone_number": "910-489-1326",
            "fax_number": "866-488-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 SOUTHERN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061766",
            "telephone_number": "910-489-1326",
            "fax_number": "866-488-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014804",
            "country_code": "US",
            "telephone_number": "814-946-2223",
            "fax_number": "814-889-6785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3186 Village Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043979",
            "country_code": "US",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283283827",
            "country_code": "US",
            "telephone_number": "910-489-9418",
            "fax_number": "866-488-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHA",
        "middle_name": "LALIT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03858",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.