LISA MELVILLE (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1790804433

LISA MELVILLE (NURSE PRACTITIONER) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 206157 (MA). The NPI Number for LISA MELVILLE (NURSE PRACTITIONER) is 1790804433

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
LISA MELVILLE (NURSE PRACTITIONER)
NPI
1790804433
Phone
(401) 272-1800
Address
2 DUDLEY ST
Enumeration Date
27 March 2007
Last Update Date
9 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177540747
Graduation Year
2004 (22 years ago)
PAC ID
8820041437
Group Practice PAC ID
6800787714
Professional Enrollment ID
I20050223000664
Address ID
MA024941228NE464XXAVEX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,473 NURSE PRACTITIONER in RI

Provider Addresses for LISA MELVILLE (NURSE PRACTITIONER)

  • 2 DUDLEY ST

    SUITE 470

    PROVIDENCE, RI 029053236

    Phone: (401) 272-1800

    Fax: (401) 868-2300

    Type: Location

  • PO BOX 16149

    RUMFORD, RI 029160697

    Phone: (401) 453-9625

    Fax: (401) 435-7069

    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: 2005-02-23

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
I20050223000664INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes356142$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7672$0
99497Advance care planning, first 30 minutes1512$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1312$0
View full utilization report →

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: 6800787714View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
Physician AssistantMA
-MA
Nurse PractitionerMA
Cardiovascular Disease (Cardiology), Internal MedicineMA
-MA
Family PracticeMA
Family PracticeMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the standard ID for LISA MELVILLE (NURSE PRACTITIONER) in the U.S.?
In the U.S., LISA MELVILLE (NURSE PRACTITIONER) is identified by NPI 1790804433.
Is LISA MELVILLE (NURSE PRACTITIONER) currently accepting referrals based on NPI status?
Registry metadata lists LISA MELVILLE (NURSE PRACTITIONER) as active.
How should patients interpret LISA MELVILLE (NURSE PRACTITIONER)'s specialty?
The extract shows Nurse Practitioner for LISA MELVILLE (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
What city is tied to LISA MELVILLE (NURSE PRACTITIONER)?
The directory associates LISA MELVILLE (NURSE PRACTITIONER) with Providence, Rhode Island. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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