OLIVIA FOOTER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154002665

OLIVIA FOOTER (APRN) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 12149 (CT). The NPI Number for OLIVIA FOOTER (APRN) is 1154002665

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA FOOTER (APRN)
NPI
1154002665
Phone
(401) 369-9224
Address
1075 SMITH ST STE 2
Enumeration Date
27 July 2023
Last Update Date
24 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013699224
Graduation Year
2023 (3 years ago)
PAC ID
0446607758
Group Practice PAC ID
3274798236
Professional Enrollment ID
I20231108001529
Address ID
RI029082700PR1075XSTXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:2State licenses:2Digital endpointsOther names

1,487 NURSE PRACTITIONER in RI

Provider Addresses for OLIVIA FOOTER (APRN)

  • 1075 SMITH ST STE 2

    PROVIDENCE, RI 029082700

    Phone: (401) 369-9224

    Type: Mailing

  • 100 Double Beach Rd

    Branford, CT 064054909

    Phone: (203) 315-7301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,207.

Total Amount is formed as General ($1,207) + Research ($0) + Ownership ($0) = $1,207.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($307).

Total Amount

$1,207

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2023-11-08

PECOS data refreshed: 2026-06-15

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
I20231108001529INurse PractitionerRITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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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: 3274798236View full group profile
NameSpecialtyState
Clinical Social WorkerRI
-RI
Clinical PsychologistRI
-RI
Clinical Social WorkerRI
Clinical PsychologistWA
Clinical Social WorkerRI
Clinical PsychologistRI
Clinical Social WorkerRI
Clinical PsychologistRI

Reviews

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Frequently asked questions

Does OLIVIA FOOTER (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OLIVIA FOOTER (APRN) uses 1154002665.
Can I rely on OLIVIA FOOTER (APRN) being an active provider?
As of the registry snapshot, OLIVIA FOOTER (APRN) is marked active.
What taxonomy line describes OLIVIA FOOTER (APRN)?
For research purposes, treat OLIVIA FOOTER (APRN) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does OLIVIA FOOTER (APRN) list a practice location?
Patients near Providence, Rhode Island may find OLIVIA FOOTER (APRN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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