ROBERTO A BACA (DNP, ARNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669808473
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,476 NURSE PRACTITIONER in RI
Provider Addresses for ROBERTO A BACA (DNP, ARNP, PMHNP-BC)
186 Providence St
West Warwick, RI 028932508
Phone: (401) 615-2800
Type: Location
1 River St
Wakefield, RI 028793214
Phone: (401) 783-0523
Type: Location
360 Kingstown Rd Unit 101
Narragansett, RI 028823258
Phone: (401) 789-6492
Type: Location
4300 SW 13TH ST
GAINESVILLE, FL 326084006
Phone: (352) 374-5600
Fax: (352) 374-5608
Type: Mailing
450 CLINTON ST
WOONSOCKET, RI 028953207
Phone: (401) 767-4100
Type: Mailing
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 $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: ABBVIE INC. ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $50 |
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: 2024-05-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240501002792 | I | Nurse Practitioner | RI | TBD |
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.
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 02893)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| - | RI | |
| Nurse Practitioner | RI | |
| Family Practice | RI | |
| Family Practice | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI |
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