DR. NICKOLAS MANCINI MD
NPI 1144842253
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Q: What is Nickolas Mancini's NPI number?

The NPI number for Nickolas Mancini is 1144842253. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Q: What is Nickolas Mancini's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Nickolas Mancini was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment

593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2695(401) 444-4165 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2024, May 12, 2020 (2 updates tracked since 2020).

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About Dr. Nickolas Mancini Md NPPES

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

DR. NICKOLAS MANCINI MD (NPI 1144842253) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD20000) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of University Of Connecticut School Of Medicine (2020).

NPPES Registry Identity

NPI1144842253

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. NICKOLAS MANCINICredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address125 Whipple St Ste 3Providence, RI 02908-3258 · (401) 444-4000 · Fax (401) 427-7795

Phone(401) 793-2695

Fax(401) 444-4165

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2020

Enumeration DateMay 12, 2020

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1144842253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in RI · MD20000

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

593 EDDY ST, Providence, RI 02903

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Secondary Practice Location 1

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-8080 · Fax (860) 679-1420

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

Dr. Nickolas Mancini 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 ID6406392836

PECOS Enrollment IDI20240722003739

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

Medicare enrollment records show Nickolas Mancini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Emergency Medicine

Same address

Emergency Medicine

593 EDDY ST, CLAVERICK 2
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
201 clinicians in this Medicare group

NPI 1962455022 (401) 444-4000

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

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 20

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

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 Nickolas Mancini's NPI number?

The NPI number for Nickolas Mancini is 1144842253. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Nickolas Mancini located?

Nickolas Mancini practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2695.

What is Nickolas Mancini's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Nickolas Mancini enrolled in Medicare?

Yes. Nickolas Mancini 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 Nickolas Mancini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Mancini reassigns Medicare benefits to 2 organizations: Brown Emergency Medicine (Providence, RI) and Lifespan Physician Group, Inc. (Providence, 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 Nickolas Mancini'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 Nickolas Mancini was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.