LYDIA KAY LIBUTTI FNP-C
NPI 1003623356
Nurse Practitioner in Providence, RI

Active since December 11, 2024PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST BSMT APC, PROVIDENCE, RI 02903(401) 444-8311 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2024, Dec 11, 2024 (2 updates tracked since 2024).

About Lydia Kay Libutti Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA KAY LIBUTTI FNP-C (NPI 1003623356) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN04362) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1003623356
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLYDIA KAY LIBUTTICredential: FNP-C
Location Address593 EDDY ST BSMT APCProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 11, 2024
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1003623356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in RI · APRN04362
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2336344 (MA), APRN04362 (RI)
593 EDDY ST BSMT APC, Providence, RI 02903

Secondary Practice Location 1

Location 1164 Summit AveProvidence, RI 02906-2853 · Phone (401) 793-2920

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lydia Kay Libutti Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547768632
PECOS Enrollment IDI20250808000289
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
593 EDDY ST BSMT APC
PROVIDENCE, RI 02903
Radiology (Radiation Oncology)
593 EDDY ST BSMT APC
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Libutti's NPI number?

The NPI number for Lydia Libutti is 1003623356. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Lydia Libutti located?

Lydia Libutti practices at 593 Eddy St Bsmt Apc, Providence, RI 02903. The listed phone number is (401) 444-8311.

What is Lydia Libutti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lydia Libutti enrolled in Medicare?

Yes. Lydia Libutti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lydia Libutti affiliated with any hospitals?

According to CMS data, Lydia Libutti is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Lydia Libutti was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.