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EMMANUEL MEDICAL SERVICES LLC
NPI 1215645742
Nurse Practitioner in North Providence, RI

Active since November 14, 2022
1417 DOUGLAS AVE STE 2, NORTH PROVIDENCE, RI 02904(401) 200-8242(401) 415-0418 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Nov 21, 2022, Nov 14, 2022 (3 updates tracked since 2022).

About Emmanuel Medical Services Llc NPPES

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

EMMANUEL MEDICAL SERVICES LLC (NPI 1215645742) is a healthcare organization registered as a nurse practitioner in North Providence, Rhode Island and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Providence and lists Adebola Adelaiye, Owner, as its authorized official.

NPPES Registry Identity

NPI1215645742
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameEMMANUEL MEDICAL SERVICES LLC
Location Address1417 DOUGLAS AVE STE 2North Providence, RI 02904-4057
Mailing Address10 Dorrance St Ste 700Providence, RI 02903-2014 · (401) 200-8242
Phone(401) 200-8242
Fax(401) 415-0418
Organization SubpartNo
Authorized OfficialAdebola AdelaiyeOwner · (401) 200-8242
Enumeration DateNovember 14, 2022
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1215645742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1417 DOUGLAS AVE STE 2, North Providence, RI 02904
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Secondary Practice Location 1

Location 110 Dorrance St Ste 700Providence, RI 02903-2014 · Phone (401) 200-8242

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuel Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Emmanuel Medical Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adebola Adelaiye
Nurse Practitioner
NPI 1427489657
10 DORRANCE ST
Providence, RI 02903
(401) 200-8242
✔ PECOS✔ Accepts Medicare3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emmanuel Medical Services LLC's NPI number?

The NPI number for Emmanuel Medical Services LLC is 1215645742. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Emmanuel Medical Services LLC located?

Emmanuel Medical Services LLC is located at 1417 Douglas Ave Ste 2, North Providence, RI 02904. The listed phone number is (401) 200-8242.

What is Emmanuel Medical Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emmanuel Medical Services LLC enrolled in Medicare?

Yes. Emmanuel Medical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emmanuel Medical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Emmanuel Medical Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emmanuel Medical Services LLC was last updated on November 3, 2023. 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.