MR. SAMUEL SPENCER GILFEATHER (ACNP) – Critical Care Medicine Nurse Practitioner, NPI 1235765454

MR. SAMUEL SPENCER GILFEATHER (ACNP) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. APRN02336 (RI). The NPI Number for MR. SAMUEL SPENCER GILFEATHER (ACNP) is 1235765454

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAMUEL SPENCER GILFEATHER (ACNP)
NPI
1235765454
Phone
Not provided
Address
593 EDDY ST
Enumeration Date
19 March 2020
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014443777
Graduation Year
2020 (6 years ago)
PAC ID
7012365422
Group Practice PAC ID
8921900044
Professional Enrollment ID
I20231126000053
Address ID
RI029034923PR593XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

Provider Addresses for MR. SAMUEL SPENCER GILFEATHER (ACNP)

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone:

    Type: Mailing

  • 2 Dudley St

    Providence, RI 029053236

    Phone: (401) 444-5891

    Fax: (401) 444-8158

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($62).

Total Amount

$62

General + Research + Ownership

Payments

1

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-11-26

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
I20231126000053INurse 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 02903)

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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: 8921900044View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YRI
E N D O C R I N O L O G YRI
-RI
Pain ManagementRI
Hematology/Oncology, Internal MedicineRI
Gastroenterology, Pediatric MedicineRI
N E U R O L O G YRI
Internal MedicineRI
-RI
N E U R O L O G YRI

Reviews

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Frequently asked questions

How do I look up MR. SAMUEL SPENCER GILFEATHER (ACNP) by NPI?
Use NPI 1235765454 when you need to reference MR. SAMUEL SPENCER GILFEATHER (ACNP) in forms, claims, or directories.
Is MR. SAMUEL SPENCER GILFEATHER (ACNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. SAMUEL SPENCER GILFEATHER (ACNP)'s specialty in plain language?
Clinically, the directory lists MR. SAMUEL SPENCER GILFEATHER (ACNP) with Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. SAMUEL SPENCER GILFEATHER (ACNP)?
The page summarizes Providence, Rhode Island for MR. SAMUEL SPENCER GILFEATHER (ACNP); expand the address list for detail.
How can I contact MR. SAMUEL SPENCER GILFEATHER (ACNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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