Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shivani Mahesh Patel, PA-C

Individual provider Medical Physician Assistant · NPI 1932631645

Mrs. Shivani Mahesh Patel, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Phone: (904) 636-5400
Fax: (904) 928-0654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110263 (FL)

Record details

NPI number1932631645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESDecember 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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