STEPHANIE J AVILA (CNM, NP-C) – Advanced Practice Midwife, NPI 1184643363

STEPHANIE J AVILA (CNM, NP-C) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials CNM, NP-C. They hold a License No. NPP37794 (RI). The NPI Number for STEPHANIE J AVILA (CNM, NP-C) is 1184643363

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE J AVILA (CNM, NP-C)
NPI
1184643363
Phone
(401) 444-0400
Address
375 ALLENS AVE
Enumeration Date
19 July 2006
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014440400
Graduation Year
2000 (26 years ago)
PAC ID
4082677422
Group Practice PAC ID
9335050962
Professional Enrollment ID
I20131212001151
Address ID
RI029055010PR375XXAVEX300

Contacts

Secure Messaging
savila60170@HCNetwork.direct-ci.com
Secure Messaging
stephanie.avila@providencechc.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,476 NURSE PRACTITIONER in RI

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Provider Addresses for STEPHANIE J AVILA (CNM, NP-C)

  • 375, Allens Avenue, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029055010

    Phone: (401) 444-0400

    Fax: (401) 444-0468

    Type: Mailing

  • 355, Prairie Avenue, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029051928

    Phone: (401) 444-0570

    Fax: (401) 444-0427

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-11-08

PECOS data refreshed: 2026-05-27

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
I20041108000387ICertified Nurse Midwife (Cnm)RITBD

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 02905)

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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: 9335050962View full group profile
NameSpecialtyState
Family PracticeMI
Allergy/Immunology, Pediatric MedicineRI
Nurse PractitionerRI
-MT
-RI
Family PracticeMA
-RI
O P T O M E T R YRI
Nurse PractitionerRI
Family PracticeOH

Reviews

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Frequently asked questions

How do I look up STEPHANIE J AVILA (CNM, NP-C) by NPI?
Use NPI 1184643363 when you need to reference STEPHANIE J AVILA (CNM, NP-C) in forms, claims, or directories.
Does this profile mean STEPHANIE J AVILA (CNM, NP-C) is currently active?
Yes — STEPHANIE J AVILA (CNM, NP-C) appears active in the national provider directory.
What kind of provider is STEPHANIE J AVILA (CNM, NP-C)?
The page reflects Advanced Practice Midwife for STEPHANIE J AVILA (CNM, NP-C). Clinical services aligned with this taxonomy classification.
Does STEPHANIE J AVILA (CNM, NP-C) practice in Rhode Island?
You will see Providence, Rhode Island on file for STEPHANIE J AVILA (CNM, NP-C) alongside any extra practice locations.
What if Providence, Rhode Island seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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