JONATHAN DAVID NYCE MD
NPI 1093177008
Pediatrics - Pediatric Cardiology in Providence, RI

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
1 HOPPIN ST STE 304, PROVIDENCE, RI 02903(401) 444-4612 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2025, Jul 12, 2022, May 9, 2022 and 1 more (4 updates tracked since 2016).

About Jonathan David Nyce Md NPPES

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

JONATHAN DAVID NYCE MD (NPI 1093177008) is an individual pediatric cardiology provider in Providence, Rhode Island, licensed in Rhode Island (MD18501) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1093177008
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJONATHAN DAVID NYCECredential: MD
Location Address1 HOPPIN ST STE 304Providence, RI 02903-4141
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateJune 17, 20254 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1093177008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in RI · MD18501
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1 HOPPIN ST STE 304, Providence, RI 02903

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7571

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan David Nyce Md 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 ID4880930247
PECOS Enrollment IDI20220610000053, I20220908001143
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 Reassignments

4

Medicare enrollment records show Jonathan Nyce reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 55 clinicians in this Medicare group
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
Technician, Cardiology
11 FRIENDSHIP ST
Newport, RI 02840
  • Reassigned Medicare billing, Rhode Island enrollment
  • 13 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Social Worker (Clinical)
1 HOPPIN ST STE 304
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 Jonathan Nyce's NPI number?

The NPI number for Jonathan Nyce is 1093177008. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Jonathan Nyce located?

Jonathan Nyce practices at 1 Hoppin St Ste 304, Providence, RI 02903. The listed phone number is (401) 444-4612.

What is Jonathan Nyce's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jonathan Nyce enrolled in Medicare?

Yes. Jonathan Nyce 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.

Which organizations bill Medicare for Jonathan Nyce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Nyce reassigns Medicare benefits to 4 organizations: Affinity Physicians LLC (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI) and Newport Hospital (Newport, RI). Each 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 Jonathan Nyce'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 Jonathan Nyce was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.