CHRISTINA THIBAULT APRN
NPI 1063869402
Nurse Practitioner - Acute Care in Providence, RI

Q: What is Christina Thibault's NPI number?

The NPI number for Christina Thibault is 1063869402. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Q: What is Christina Thibault's specialty?

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

Active since May 16, 2016PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-2000 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Christina Thibault Aprn NPPES

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

CHRISTINA THIBAULT APRN (NPI 1063869402) is an individual acute care provider in Providence, Rhode Island, licensed in Rhode Island (APRN00737) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063869402

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameCHRISTINA THIBAULTCredential: APRN

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923

Phone(401) 444-2000

Sole ProprietorYes

Enumeration DateMay 16, 2016

✔ NPI 1063869402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in RI · APRN00737

593 EDDY ST, Providence, RI 02903

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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 (PECOS)

Christina Thibault Aprn 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.

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.

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