JESSICA CARDILLO DOUGLAS FNP
NPI 1043443385
Nurse Practitioner - Family in West Warwick, RI

Q: What is Jessica Douglas's NPI number?

The NPI number for Jessica Douglas is 1043443385. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Q: What is Jessica Douglas'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 Jessica Douglas was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since September 03, 2009PECOS Enrolled

186 PROVIDENCE ST, WEST WARWICK, RI 02893(401) 615-2800(401) 615-2805 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jessica Cardillo Douglas Fnp NPPES

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

JESSICA CARDILLO DOUGLAS FNP (NPI 1043443385) is an individual family provider in West Warwick, Rhode Island, licensed in Rhode Island (NPP37525) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043443385

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA CARDILLO DOUGLASCredential: FNP

Location Address186 PROVIDENCE STWest Warwick, RI 02893-2508

Mailing Address450 Clinton StWoonsocket, RI 02895-3207 · (401) 767-4100 · Fax (401) 235-6899

Phone(401) 615-2800

Fax(401) 615-2805

Sole ProprietorNo

Enumeration DateSeptember 3, 2009

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1043443385 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

License✔ Licensed in RI · NPP37525

186 PROVIDENCE ST, West Warwick, RI 02893

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Other Identifiers 1

MedicaidJD78532RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Cardillo Douglas Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thundermist Health Center

Same address

Federally Qualified Health Center (FQHC)

186 PROVIDENCE ST
West Warwick, RI 02893

Reassigned Medicare billing, Rhode Island enrollment
288 clinicians in this Medicare group

NPI 1376708560 (401) 615-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02893 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.

BERNADETTE LIMIADI WALERYSZAK FNP-C

Nurse Practitioner (Family)