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HEATHER N NISBET APRN
NPI 1205380698
Nurse Practitioner - Women's Health in Warwick, RI

Active since August 15, 2016PECOS EnrolledAccepts Medicare Assignment
390 TOLL GATE RD STE 201, WARWICK, RI 02886(401) 738-8803 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 17, 2016 (2 updates tracked since 2016).

About Heather N Nisbet Aprn NPPES

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

HEATHER N NISBET APRN (NPI 1205380698) is an individual women's health provider in Warwick, Rhode Island, licensed in Rhode Island (APRN01441) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205380698
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameHEATHER N NISBETCredential: APRN
Location Address390 TOLL GATE RD STE 201Warwick, RI 02886-4326
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641
Phone(401) 738-8803
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 15, 2016
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1205380698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in RI · APRN01441
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License APRN01441 (RI)
390 TOLL GATE RD STE 201, Warwick, RI 02886
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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

Heather N Nisbet Aprn 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 ID8729513403
PECOS Enrollment IDI20241119002595
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 2

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 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.
18 services18 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

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 02886 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 2

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

J DOUGLAS NISBET II MD
Obstetrics & Gynecology
390 TOLL GATE RD STE 201
WARWICK, RI 02886
Kent County (401) 738-8803
MARGARET ANNE ROUSSEAU PA-C
Physician Assistant
390 TOLL GATE RD STE 201
WARWICK, RI 02886
Kent County (401) 738-8800

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 Heather Nisbet's NPI number?

The NPI number for Heather Nisbet is 1205380698. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Heather Nisbet located?

Heather Nisbet practices at 390 Toll Gate Rd Ste 201, Warwick, RI 02886. The listed phone number is (401) 738-8803.

What is Heather Nisbet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Heather Nisbet enrolled in Medicare?

Yes. Heather Nisbet 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 Heather Nisbet affiliated with any hospitals?

According to CMS data, Heather Nisbet is affiliated with Rhode Island Hospital, South County Hospital Inc, Kent County Memorial Hospital and Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Heather Nisbet was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.