NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1164831251 FNP-BC
Verify on CMS → Shivani Patel, FNP-BC
Family Nurse Practitioner in Waterford, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 403 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$160.89
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Shivani Patel, FNP-BC filed 1,767 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Waterford, Wisconsin, prescribing 87% generic.
- 2K
- Part D claims, 2023
- 87%
- generic prescribing
- $160.89
- industry payments (Sunshine Act)
- ≥83rd
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Shivani Patel, FNP-BC
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1164831251), first enumerated 08/04/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,767 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$160.89 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1164831251 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1164831251
- ENUM-MID 2014
- TAX-MEGA 211K Family Nurse
- RX-MID 1,767
- BOOK-LIGHT 2,557 in Wisconsin
- PHOTO-ENUM Megan Hohl · 2014
Shivani Patel, FNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,767 ≥ 83rd percentile 83% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Shivani Patel, FNP-BC?
Quality data not reportedPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
1,767 45% vs specialty avg
Specialty distribution in Wisconsin
How Family Nurse Practitioner compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1164831251 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP-BC |
| Gender | Female |
| NPI Issued | 08/04/2014 |
Hospital and facility affiliations
Facilities where Shivani Patel, FNP-BC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Aurora Medical Group, Inc.
Waterford, WI
Banner - University Physician Specialists LLC
Phoenix, AZ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Shivani Patel, FNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$161
Largest payer
Novartis Pharmaceuticals Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Shivani Patel, FNP-BC - brand share 12.0%
Family Nurse Practitioner average
12% brand-name claims vs 87% generic, on 1,767 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,767
Total Claims
$170K
Total Drug Cost
403
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,985
- Total Day Supply
- 82,708
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $140K
- Generic Drug Cost
- $30K
- Opioid Claims
- 52 (2.9% rate)
- Antibiotic Claims
- 57
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.82
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 71, 65-74: 196, 75-84: 99, 85+: 37
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Shivani Patel, FNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
95 claims
- Pantoprazole Sodium
Pantoprazole Sodium
69 claims
- Gabapentin
Gabapentin
59 claims
- Prednisone
Prednisone
58 claims
- Lisinopril
Lisinopril
53 claims
- Amlodipine Besylate
Amlodipine Besylate
52 claims
- Tizanidine Hcl
Tizanidine Hcl
46 claims
- Furosemide
Furosemide
42 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 95 |
| Pantoprazole Sodium | 69 |
| Gabapentin | 59 |
| Prednisone | 58 |
| Lisinopril | 53 |
| Amlodipine Besylate | 52 |
| Tizanidine Hcl | 46 |
| Furosemide | 42 |
| Levothyroxine Sodium | 41 |
| Fluticasone Propionate | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Shivani Patel, FNP-BC fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Shivani Patel, FNP-BC's 1,767 claims are above the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Wisconsin so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Patel.
One of 2,557 Family Nurse Practitioner providers enrolled in Wisconsin, 5 are shown here.
Dr. Amanda Abaya
APNP
Appleton, WI
Dr. Monaliza Abdela
FNP
Brookfield, WI
Dr. Mohamed Abdelazim
APNP
Appleton, WI
Ayia Abdeljabbar
Oak Creek, WI
Dr. Caroline Abel
APNP
Neenah, WI
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Shivani Patel, FNP-BC's specialty? ▼
Shivani Patel, FNP-BC specializes in Family Nurse Practitioner and practices in Waterford, Wisconsin. Credentials: FNP-BC.
How much does Shivani Patel, FNP-BC prescribe under Medicare Part D? ▼
In 2023, Shivani Patel, FNP-BC wrote 1,767 Medicare Part D claims totaling $170K in drug costs for 403 beneficiaries.
Where is Shivani Patel, FNP-BC located? ▼
Shivani Patel, FNP-BC is located at 818 FOREST LN, Waterford, WI, 53185. Phone: (800) 326-2250.
What is Shivani Patel, FNP-BC's NPI number? ▼
Shivani Patel, FNP-BC's National Provider Identifier (NPI) is 1164831251, issued on 08/04/2014.
Does Shivani Patel, FNP-BC prescribe more brand-name or generic drugs? ▼
Shivani Patel, FNP-BC's prescribing is 12% brand-name and 87% generic drugs by claim count, with $140K in brand drug costs.
Does Shivani Patel, FNP-BC prescribe opioids? ▼
Yes, Shivani Patel, FNP-BC had 52 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Shivani Patel, FNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Shivani Patel, FNP-BC's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shivani Patel, FNP-BC accept Medicare? ▼
Shivani Patel, FNP-BC appears in CMS Medicare data with 1,767 Part D claims and 403 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shivani Patel, FNP-BC's credentials? ▼
Shivani Patel, FNP-BC's NPI is 1164831251 with credentials FNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.