Unknown Individual – Family Nurse Practitioner, NPI 1093088833
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
375 ALLENS AVE
PROVIDENCE, RI 029055010
Phone: (401) 444-0400
Fax: (401) 444-0468
Type: Mailing
40 CANDACE ST
PROVIDENCE, RI 029083747
Phone: (401) 444-0550
Fax: (401) 444-0425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Lilly USA, LLC ($79).
Total Amount
$160
General + Research + Ownership
Payments
7
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $79 |
| Amgen Inc. | $64 |
| GlaxoSmithKline, LLC. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | RI | 83036 | Hemoglobin A1C level | 158 | 69 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Allergy/Immunology, Pediatric Medicine | RI | |
| Nurse Practitioner | RI | |
| - | MT | |
| Family Practice | MA | |
| - | RI | |
| O P T O M E T R Y | RI | |
| Nurse Practitioner | RI | |
| Family Practice | OH | |
| Nurse Practitioner | RI |
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