NICOLE CATHERINE POLILLIO NP
NPI 1033004189
Nurse Practitioner - Family in Providence, RI

Q: What is Nicole Polillio's NPI number?

The NPI number for Nicole Polillio is 1033004189. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Nicole Polillio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Polillio was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2025PECOS EnrolledAccepts Medicare Assignment

101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1100 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2025, Jun 10, 2025 (2 updates tracked since 2025).

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About Nicole Catherine Polillio Np NPPES

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

NICOLE CATHERINE POLILLIO NP (NPI 1033004189) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN04767) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2024).

NPPES Registry Identity

NPI1033004189

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE CATHERINE POLILLIOCredential: NP

Location Address101 DUDLEY STProvidence, RI 02905-2401

Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 274-1100

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2024

Enumeration DateJune 10, 2025

Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1033004189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in RI · APRN04767✔ Licensed in MA · F05250649

101 DUDLEY ST, Providence, RI 02905

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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

Nicole Catherine Polillio Np 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 ID6800399783

PECOS Enrollment IDI20250915003530

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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 20

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

CHRISTOPHER DONALD PALMER DO

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