WELLONE PRIMARY MEDICAL AND DENTAL CARE
NPI 1245219070
Clinic/Center - Federally Qualified Health Center (FQHC) in Pascoag, RI
About Wellone Primary Medical And Dental Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLONE PRIMARY MEDICAL AND DENTAL CARE (NPI 1245219070) is a healthcare organization registered as a federally qualified health center (fqhc) in Pascoag, Rhode Island and active in the NPI registry since January 2006. The organization lists Diane Hopper, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellone Primary Medical And Dental Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Wellone Primary Medical And Dental Care, which bills Medicare for the services they deliver. Of these, 13 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 39North Providence, RI 02904
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 Northwest Community Health Care's NPI number?
The NPI number for Northwest Community Health Care is 1245219070. It was assigned to this organization in the NPPES registry on January 11, 2006. The provider is doing business as Wellone Primary Medical And Dental Care.
Where is Northwest Community Health Care located?
Northwest Community Health Care is located at 36 Bridge Way, Pascoag, RI 02859. The listed phone number is (401) 567-0800.
What is Northwest Community Health Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Northwest Community Health Care enrolled in Medicare?
Yes. Northwest Community Health Care is registered in the Medicare PECOS enrollment system.
When is Northwest Community Health Care's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Rhode Island, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northwest Community Health Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 7 Medicare specialties reassign their Medicare billing to Northwest Community Health Care. 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. The largest specialties are Nurse Practitioner (21), Family Practice (5) and Clinical Psychologist (4). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northwest Community Health Care was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Wellone Primary Medical And Dental Care · NPI 1245219070
Federally Qualified Health Center (FQHC) organization in Pascoag, Rhode Island. Organization record, active in the CMS NPPES registry since January 11, 2006.
## Identity
- **NPI:** 1245219070 (Entity type: Organization)
- **Enumerated:** January 11, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northwest Community Health Care
- **Organization subpart:** No
- **Authorized official:** Diane Hopper, VP OF FINANCE
## Practice location
- **Address:** 36 BRIDGE WAY, Pascoag, RI 02859
- **Phone:** (401) 567-0800 · **Fax:** (401) 567-0900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Rhode Island, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 39 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (5), Clinical Psychologist (4); 13 practice at this address; [full list](https://npiprofile.com/npi/1245219070/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2012
- **Other identifiers:** Medicaid NC50602 (RI); Medicare PIN 411814 (RI); Medicare OSCAR/certification 709004025 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1245219070) · Data from the CMS NPPES public registry.