DR. ROANNE OSBORNE (MD) – Family Medicine Physician, NPI 1427042894

DR. ROANNE OSBORNE (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 73600 (MN). The NPI Number for DR. ROANNE OSBORNE (MD) is 1427042894

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROANNE OSBORNE (MD)
NPI
1427042894
Phone
(401) 444-0400
Address
375 ALLENS AVE
Enumeration Date
31 August 2005
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2629014450
Graduation Year
1998 (28 years ago)
PAC ID
4082676200
Group Practice PAC ID
4284905134
Professional Enrollment ID
I20190605001473
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. ROANNE OSBORNE (MD)

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

    PROVIDENCE, RI 029055010

    Phone: (401) 444-0400

    Fax: (401) 444-0468

    Type: Location

  • 4801 VETERANS DR

    SAINT CLOUD, MN 563032015

    Phone: (320) 252-1670

    Type: Mailing

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: 2019-06-05

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
I20190605001473IFamily PracticeWITBD

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: 4284905134View full group profile
NameSpecialtyState
Nurse PractitionerWI
-WI
-WI
Nurse PractitionerWI
-WI
Family Practice, Peripheral Vascular DiseaseWI
Nurse PractitionerWI
Nurse PractitionerAZ
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the registry number for DR. ROANNE OSBORNE (MD)?
The registry entry for DR. ROANNE OSBORNE (MD) shows NPI 1427042894.
Is DR. ROANNE OSBORNE (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ROANNE OSBORNE (MD) as active.
What type of care does DR. ROANNE OSBORNE (MD) provide?
DR. ROANNE OSBORNE (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ROANNE OSBORNE (MD)?
DR. ROANNE OSBORNE (MD) is associated with Providence, Rhode Island in the same public data insurers reference.
Why is information missing for DR. ROANNE OSBORNE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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