MRS. PRIYA PATEL (RN, BSN, FNP) – Family Medicine Physician, NPI 1073966230

MRS. PRIYA PATEL (RN, BSN, FNP) is a healthcare provider. based in Edwardsville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, BSN, FNP. They hold a License No. 1-091600 (AL). The NPI Number for MRS. PRIYA PATEL (RN, BSN, FNP) is 1073966230

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PRIYA PATEL (RN, BSN, FNP)
NPI
1073966230
Phone
(314) 502-3994
Address
PO BOX 650
Enumeration Date
22 July 2016
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3148302600
Graduation Year
1999 (27 years ago)
PAC ID
3274948864
Group Practice PAC ID
3779532858
Professional Enrollment ID
I20210211002405
Address ID
MO630317928FL261XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Loading map...

Provider Addresses for MRS. PRIYA PATEL (RN, BSN, FNP)

  • PO BOX 650

    EDWARDSVILLE, IL 620250650

    Phone: (314) 502-3994

    Fax: (914) 810-9609

    Type: Mailing

  • 2000, Pepperell Parkway, Five Points, Opelika, Lee County, Alabama, 36801, United States

    2ND FLOOR (PAIN CLINIC)

    OPELIKA, AL 368015452

    Phone: (334) 528-2400

    Fax: (334) 528-2495

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($140).

Total Amount

$283

General + Research + Ownership

Payments

13

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210211002405INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8655$0
99214Established patient office or other outpatient visit, 30-39 minutes6453$0
View full utilization report →

Insurance plans in this area (ZIP 62025)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779532858View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physical Medicine And Rehabilitation, Pain ManagementIL
Physician AssistantIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference MRS. PRIYA PATEL (RN, BSN, FNP)?
For MRS. PRIYA PATEL (RN, BSN, FNP), use NPI 1073966230 as the unique 10-digit identifier.
Is MRS. PRIYA PATEL (RN, BSN, FNP) shown as active in public data?
Registry records indicate MRS. PRIYA PATEL (RN, BSN, FNP) maintains an active NPI.
What expertise is attributed to MRS. PRIYA PATEL (RN, BSN, FNP)?
MRS. PRIYA PATEL (RN, BSN, FNP)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. PRIYA PATEL (RN, BSN, FNP)?
Directory geography for MRS. PRIYA PATEL (RN, BSN, FNP) centers on Edwardsville, Illinois.
Does MRS. PRIYA PATEL (RN, BSN, FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MICHELLE P MULLIGAN (M.D.)

Family Medicine Physician
6810 STATE ROUTE 162
NPI: 1194721936

PATRICK MASCHING (MD)

Emergency Medicine Physician
Alton Memorial Hospital, 1, Memorial Drive, Alton, Madison County, Illinois, 62002, United States
NPI: 1861475261

Unknown Individual

Family Medicine Physician
6616, Center Grove Road, Edwardsville, Madison County, Illinois, 62025, United States
NPI: 1184600967

CHARLOTTE HOPE ALBINSON (MD)

Emergency Medicine Physician
725 SCHOOL ST STE A
NPI: 1366400608

Unknown Individual

Family Medicine Physician
1121, University Drive, Edwardsville, Madison County, Illinois, 62025, United States
NPI: 1245281831

JOSEPHINE LEE AGUHOB GLASER (M.D.)

Family Medicine Physician
6810 STATE RT 162 BOX 215
NPI: 1407887979

ANTHONY MALENCH (MD)

Family Medicine Physician
103B SOUTHPOINTE
NPI: 1760560064

METRO EAST HEALTHCARE LIMITED

Family Medicine Physician
PO BOX 866
NPI: 1083767479

Unknown Individual

Family Medicine Physician
931 SURREY CT
NPI: 1831213123