MORGAN-JEAN HIRALDO FNP
NPI 1215700216
Nurse Practitioner - Primary Care in Providence, RI

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
160 WAYLAND AVE, PROVIDENCE, RI 02906(401) 521-1121 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Morgan-jean Hiraldo Fnp NPPES

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

MORGAN-JEAN HIRALDO FNP (NPI 1215700216) is an individual primary care provider in Providence, Rhode Island, licensed in Rhode Island (APRN03846) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215700216
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMORGAN-JEAN HIRALDOCredential: FNP
Location Address160 WAYLAND AVEProvidence, RI 02906-4304
Mailing Address160 Wayland AveProvidence, RI 02906-4304 · (401) 521-1121
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 1, 2023
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1215700216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in RI · APRN03846
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN03846 (RI)
160 WAYLAND AVE, Providence, RI 02906

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

Morgan-jean Hiraldo Fnp 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 ID4183076474
PECOS Enrollment IDI20240123001902
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 3

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.
40 services36 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
22 services13 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.
18 services14 patients

Hospital Affiliations CMS Care Compare 4

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

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

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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 6

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

Non-Pharmacy Dispensing Site
160 WAYLAND AVE
PROVIDENCE, RI 02906
Nurse Practitioner (Acute Care)
160 WAYLAND AVE
PROVIDENCE, RI 02906
Internal Medicine
160 WAYLAND AVE
PROVIDENCE, RI 02906
Nurse Practitioner (Family)
160 WAYLAND AVE
PROVIDENCE, RI 02906
Internal Medicine
160 WAYLAND AVE
PROVIDENCE, RI 02906
Internal Medicine
160 WAYLAND AVE
PROVIDENCE, RI 02906

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 Morgan-jean Hiraldo's NPI number?

The NPI number for Morgan-jean Hiraldo is 1215700216. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Morgan-jean Hiraldo located?

Morgan-jean Hiraldo practices at 160 Wayland Ave, Providence, RI 02906. The listed phone number is (401) 521-1121.

What is Morgan-jean Hiraldo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Morgan-jean Hiraldo enrolled in Medicare?

Yes. Morgan-jean Hiraldo 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 Morgan-jean Hiraldo affiliated with any hospitals?

According to CMS data, Morgan-jean Hiraldo is affiliated with South County Hospital Inc, Kent County Memorial Hospital, The Miriam Hospital and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Morgan-jean Hiraldo was last updated on December 26, 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.