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J DOUGLAS NISBET II MD
NPI 1255357737
Obstetrics & Gynecology in Warwick, RI

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
390 TOLL GATE RD STE 201, WARWICK, RI 02886(401) 738-8803(401) 738-7658 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About J Douglas Nisbet Ii Md NPPES

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

J DOUGLAS NISBET II MD (NPI 1255357737) is an individual obstetrics & gynecology provider in Warwick, Rhode Island, licensed in Rhode Island (6757) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1255357737
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJ DOUGLAS NISBET IICredential: MD
Location Address390 TOLL GATE RD STE 201Warwick, RI 02886-4326
Mailing Address445 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 738-8803
Fax(401) 738-7658
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1983
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1255357737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · 6757
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
390 TOLL GATE RD STE 201, Warwick, RI 02886
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Other Names 1

Former Name (1)John Douglas Nisbet Md

Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

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

J Douglas Nisbet Ii 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 ID5991865065
PECOS Enrollment IDI20081119000254
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.
307 services275 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 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

HEATHER N NISBET APRN
Nurse Practitioner (Women's Health)
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 J Nisbet's NPI number?

The NPI number for J Nisbet is 1255357737. It was assigned to this individual provider in the NPPES registry on July 15, 2006. The provider is also known as John Douglas Nisbet MD.

Where is J Nisbet located?

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

What is J Nisbet's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is J Nisbet enrolled in Medicare?

Yes. J 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 J Nisbet affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for J Nisbet was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.