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KATHLEEN FAVA ACNP-BC
NPI 1053682765
Nurse Practitioner - Acute Care in Providence, RI

Active since January 26, 2012PECOS EnrolledAccepts Medicare Assignment
593 EDDY STREET, JANE BROWN, 2 SOUTH, PROVIDENCE, RI 02903(401) 444-5943(401) 444-4216 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2018, Jun 29, 2018 (2 updates tracked since 2018).

About Kathleen Fava Acnp-bc NPPES

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

KATHLEEN FAVA ACNP-BC (NPI 1053682765) is an individual acute care provider in Providence, Rhode Island, licensed in Rhode Island (NPP37680) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1053682765
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATHLEEN FAVACredential: ACNP-BC
Location Address593 EDDY STREET, JANE BROWN, 2 SOUTHProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 444-5943
Fax(401) 444-4216
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 26, 2012
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
✔ NPI 1053682765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in RI · NPP37680
Also ListedRegistered NurseTaxonomy 163W00000X · License RN34380 (RI)
593 EDDY STREET, JANE BROWN, 2 SOUTH, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-5943 · Fax (401) 444-4216

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

Kathleen Fava Acnp-bc 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 ID42474306
PECOS Enrollment IDI20120618000315
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.

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 Kathleen Fava's NPI number?

The NPI number for Kathleen Fava is 1053682765. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Where is Kathleen Fava located?

Kathleen Fava practices at 593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903. The listed phone number is (401) 444-5943.

What is Kathleen Fava's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kathleen Fava enrolled in Medicare?

Yes. Kathleen Fava 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 Kathleen Fava affiliated with any hospitals?

According to CMS data, Kathleen Fava is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Fava was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.