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PAUL J PADULA MSN-FNP-C
NPI 1093392524
Nurse Practitioner - Family in Lincoln, RI

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
6 BLACKSTONE VALLEY PL, LINCOLN, RI 02865(401) 333-3111(401) 334-1217 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, Oct 5, 2022, Sep 25, 2021 and 1 more (4 updates tracked since 2021).

About Paul J Padula Msn-fnp-c NPPES

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

PAUL J PADULA MSN-FNP-C (NPI 1093392524) is an individual family provider in Lincoln, Rhode Island, licensed in Rhode Island (APRN02592) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093392524
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePAUL J PADULACredential: MSN-FNP-C
Location Address6 BLACKSTONE VALLEY PLLincoln, RI 02865-1179
Mailing Address6 Blackstone Valley PlLincoln, RI 02865-1179 · (401) 333-3111
Phone(401) 333-3111
Fax(401) 334-1217
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2021
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1093392524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · APRN02592
6 BLACKSTONE VALLEY PL, Lincoln, RI 02865
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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 and accepts Medicare assignment

Paul J Padula Msn-fnp-c 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 ID2466848064
PECOS Enrollment IDI20220407001673
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
20 services20 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
18 services17 patients

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 02865 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.

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.

DR. ANDREW THOMAS THORP JR. MD, MBA
Internal Medicine (Cardiovascular Disease)
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 762-3838
DEVEREUX
Community/Behavioral Health
6 BLACKSTONE VALLEY PL, SUITE 402
LINCOLN, RI 02865
Providence County (401) 305-7770
TANNERHILL, INC
Counselor
6 BLACKSTONE VALLEY PL, SUITE 402
LINCOLN, RI 02865
Providence County (401) 305-7770
REBECCA SMALL MSW
Social Worker (Clinical)
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 245-6421
RUPINDER KAUR SANDHU DMD
Dentist
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 333-5500
DR. JAMES J WHALEN M.D.
Psychiatry & Neurology (Psychiatry)
6 BLACKSTONE VALLEY PL, BLDG 4, SUITE 401
LINCOLN, RI 02865
Providence County (401) 333-3435
SLEEP THERAPEUTICS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
6 BLACKSTONE VALLEY PL, SUITE 705
LINCOLN, RI 02865
Providence County (877) 633-4699
COASTAL MEDICAL, INC.
Non-Pharmacy Dispensing Site
6 BLACKSTONE VALLEY PL, SUITE 701
LINCOLN, RI 02865
Providence County (401) 333-3111

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 Paul Padula's NPI number?

The NPI number for Paul Padula is 1093392524. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Paul Padula located?

Paul Padula practices at 6 Blackstone Valley Pl, Lincoln, RI 02865. The listed phone number is (401) 333-3111.

What is Paul Padula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Padula enrolled in Medicare?

Yes. Paul Padula 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 Paul Padula affiliated with any hospitals?

According to CMS data, Paul Padula is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Paul Padula was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.