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PVD CARES WELLNESS CENTER LLC
NPI 1063059244
Nurse Practitioner in Pawtucket, RI

Active since December 05, 2019
126 PROSPECT ST STE 105, PAWTUCKET, RI 02860(401) 753-2526(401) 235-4152 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 29, 2021, Aug 21, 2020, Feb 28, 2020 and 1 more (4 updates tracked since 2019).

About Pvd Cares Wellness Center Llc NPPES

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

PVD CARES WELLNESS CENTER LLC (NPI 1063059244) is a healthcare organization registered as a nurse practitioner in Pawtucket, Rhode Island and active in the NPI registry since December 2019. The organization lists Effien King, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063059244
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePVD CARES WELLNESS CENTER LLC
Location Address126 PROSPECT ST STE 105Pawtucket, RI 02860-4429
Mailing Address126 Prospect StPawtucket, RI 02860-4476 · (401) 753-2526 · Fax (401) 235-4152
Phone(401) 753-2526
Fax(401) 235-4152
Organization SubpartNo
Authorized OfficialEffien KingNurse Practitioner · (323) 770-6210
Enumeration DateDecember 5, 2019
Last NPPES UpdateJune 29, 20214 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1063059244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
126 PROSPECT ST STE 105, Pawtucket, RI 02860
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pvd Cares Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pvd Cares Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Effien King, FNP
Nurse Practitioner
NPI 1518511021
126 PROSPECT ST STE 105
Pawtucket, RI 02860
(401) 753-2526
✔ PECOS✔ Accepts MedicareSame address
Lissa Pierre, FNP-C
Nurse Practitioner
NPI 1346013661
1630 MINERAL SPRING AVE STE 2
North Providence, RI 02904
(401) 438-1010
✔ PECOS✔ Accepts Medicare3.8 mi

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

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 Pvd Cares Wellness Center LLC's NPI number?

The NPI number for Pvd Cares Wellness Center LLC is 1063059244. It was assigned to this organization in the NPPES registry on December 5, 2019.

Where is Pvd Cares Wellness Center LLC located?

Pvd Cares Wellness Center LLC is located at 126 Prospect St Ste 105, Pawtucket, RI 02860. The listed phone number is (401) 753-2526.

What is Pvd Cares Wellness Center LLC's specialty?

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

Is Pvd Cares Wellness Center LLC enrolled in Medicare?

Yes. Pvd Cares Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pvd Cares Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pvd Cares Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pvd Cares Wellness Center LLC was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.