FANTA FREEMAN (CNM) – Registered Nurse, NPI 1881147569

FANTA FREEMAN (CNM) is a healthcare provider. based in Cranston, Rhode Island. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. CNM00203 (RI). The NPI Number for FANTA FREEMAN (CNM) is 1881147569

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
FANTA FREEMAN (CNM)
NPI
1881147569
Phone
(401) 223-2828
Address
1150 RESERVOIR AVE STE 300
Enumeration Date
28 July 2016
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012232828
Graduation Year
2022 (4 years ago)
PAC ID
0143762591
Group Practice PAC ID
5092075226
Professional Enrollment ID
I20240613000028
Address ID
RI029206043CR1150XAVEX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

62 CERTIFIED NURSE MIDWIFE (CNM) in RI

Provider Addresses for FANTA FREEMAN (CNM)

  • 1150 RESERVOIR AVE STE 300

    CRANSTON, RI 029206032

    Phone: (401) 223-2828

    Fax: (401) 223-2825

    Type: Mailing

  • 874, Purchase Street, New Bedford, Bristol County, Massachusetts, 02740, United States

    NEW BEDFORD, MA 027406232

    Phone: (508) 992-6553

    Fax: (508) 984-8420

    Type: Mailing

  • 874 Purchase St

    New Bedford, MA 027406232

    Phone: (508) 992-6553

    Fax: (508) 984-8420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: SHIELD THERAPEUTICS INC ($54).

Total Amount

$191

General + Research + Ownership

Payments

10

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-06-13

PECOS data refreshed: 2026-06-15

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
I20240613000028ICertified 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 02920)

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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: 5092075226View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YRI
Physician AssistantRI
O B S T E T R I C S/ G Y N E C O L O G YRI
Nurse PractitionerRI
Certified Nurse Midwife (Cnm)NC

Reviews

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Frequently asked questions

Does FANTA FREEMAN (CNM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FANTA FREEMAN (CNM) uses 1881147569.
Does CMS list FANTA FREEMAN (CNM) as active?
Yes — FANTA FREEMAN (CNM) is active in the NPI listing used on this page.
What is FANTA FREEMAN (CNM)'s primary classification?
Registered Nurse is the headline specialty for FANTA FREEMAN (CNM) here. Clinical services aligned with this taxonomy classification.
Where is FANTA FREEMAN (CNM) based?
FANTA FREEMAN (CNM) is tied to Cranston, Rhode Island in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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