CHRISTINA THIBAULT APRN
NPI 1063869402
Nurse Practitioner - Acute Care in Providence, RI
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 and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christina Thibault Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christina Thibault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 358 clinicians in this Medicare group
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 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.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 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.
Where is Christina Thibault located?
Christina Thibault practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-2000.
What is Christina Thibault's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Christina Thibault enrolled in Medicare?
Yes. Christina Thibault is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christina Thibault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christina Thibault reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). The 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 Christina Thibault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Christina Thibault was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Christina Thibault, APRN · NPI 1063869402
Acute Care physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since May 16, 2016.
## Identity
- **NPI:** 1063869402 (Entity type: Individual)
- **Enumerated:** May 16, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN00737 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rhode Island Hospital (NPI 1154537520, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1063869402) · Data from the CMS NPPES public registry.