AMANDA M FABIAN NP-BC
NPI 1134938194
Nurse Practitioner - Family in Providence, RI

Q: What is Amanda Fabian's NPI number?

The NPI number for Amanda Fabian is 1134938194. It was assigned to this individual provider in the NPPES registry on January 4, 2025.

Q: What is Amanda Fabian's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Fabian was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 04, 2025PECOS EnrolledAccepts Medicare Assignment

2 DUDLEY ST STE 580, PROVIDENCE, RI 02905(401) 274-1122 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda M Fabian Np-bc NPPES

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

AMANDA M FABIAN NP-BC (NPI 1134938194) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN04394) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and is a graduate of University Of Southern California Keck School Of Medicine (2024).

NPPES Registry Identity

NPI1134938194

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA M FABIANCredential: NP-BC

Location Address2 DUDLEY ST STE 580Providence, RI 02905-3244

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641

Phone(401) 274-1122

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2024

Enumeration DateJanuary 4, 2025

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1134938194 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 · APRN04394

2 DUDLEY ST STE 580, Providence, RI 02905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

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

Amanda M Fabian Np-bc 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 ID2163952235

PECOS Enrollment IDI20250205002278

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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 5

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

TARIRO MUPOMBWA M.D.

Obstetrics & Gynecology