MRS. NICOLE MARIE GARDELLA (RNP) – Nurse Practitioner, NPI 1639313810

MRS. NICOLE MARIE GARDELLA (RNP) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RNP. They hold a License No. APRN00256 (RI). The NPI Number for MRS. NICOLE MARIE GARDELLA (RNP) is 1639313810

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE MARIE GARDELLA (RNP)
NPI
1639313810
Phone
(401) 443-4992
Address
DEPT 3010, PO BOX 986524
Enumeration Date
1 May 2009
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012734064
Graduation Year
2008 (18 years ago)
PAC ID
0143366138
Group Practice PAC ID
0446159776
Professional Enrollment ID
I20091005000699
Address ID
RI029045752PR909XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

Provider Addresses for MRS. NICOLE MARIE GARDELLA (RNP)

  • DEPT 3010, PO BOX 986524

    BOSTON, MA 022986524

    Phone: (401) 443-4992

    Fax: (401) 537-7241

    Type: Mailing

  • 909 N MAIN ST

    PROVIDENCE, RI 029045752

    Phone: (401) 273-4064

    Fax: (401) 273-1268

    Type: Location

  • 900 Warren Ave Ste 401

    East Providence, RI 029141430

    Phone: (401) 330-2480

    Fax: (401) 808-6329

    Type: Location

  • 900 WARREN AVE STE 401

    EAST PROVIDENCE, RI 029141430

    Phone: (401) 330-2480

    Fax: (401) 808-6329

    Type: Location

  • Davol Square, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    SUITE 400

    PROVIDENCE, RI 029034754

    Phone: (401) 421-4000

    Fax: (401) 272-1456

    Type: Mailing

  • 41, Sanderson Road, Greenville, Smithfield, Providence County, Rhode Island, 02917, United States

    SUITE 201

    SMITHFIELD, RI 029172602

    Phone: (401) 949-0300

    Fax: (401) 349-3387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091005000699INurse PractitionerRITBD
I20260127000032INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 02298)

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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: 0446159776View full group profile
NameSpecialtyState
E N D O C R I N O L O G YRI
Geriatric MedicineRI
N E P H R O L O G YRI
Internal MedicineRI
-RI
-RI
Infectious DiseaseRI
-RI
Infectious DiseaseRI
Internal MedicineRI

Reviews

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Frequently asked questions

What is MRS. NICOLE MARIE GARDELLA (RNP)'s NPI number?
MRS. NICOLE MARIE GARDELLA (RNP)'s NPI is 1639313810 — the number used across U.S. healthcare to identify this provider.
Would MRS. NICOLE MARIE GARDELLA (RNP) appear as active to a payer?
You can treat MRS. NICOLE MARIE GARDELLA (RNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. NICOLE MARIE GARDELLA (RNP)?
MRS. NICOLE MARIE GARDELLA (RNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. NICOLE MARIE GARDELLA (RNP) associated with Boston?
Public fields place MRS. NICOLE MARIE GARDELLA (RNP) around Boston, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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