JELISSA NEAL WHNP-BC
NPI 1265116412
Nurse Practitioner - Women's Health in Providence, RI

Q: What is Jelissa Neal's NPI number?

The NPI number for Jelissa Neal is 1265116412. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Q: What is Jelissa Neal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jelissa Neal was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment

175 BROAD ST, PROVIDENCE, RI 02903(401) 421-9620 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 4, 2025, Jun 9, 2023 (2 updates tracked since 2023).

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About Jelissa Neal Whnp-bc NPPES

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

JELISSA NEAL WHNP-BC (NPI 1265116412) is an individual women's health provider in Providence, Rhode Island, licensed in Rhode Island (APRN03629) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265116412

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameJELISSA NEALCredential: WHNP-BC

Location Address175 BROAD STProvidence, RI 02903-4026

Mailing Address175 Broad StProvidence, RI 02903-4026

Phone(401) 421-9620

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 9, 2023

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1265116412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in RI · APRN03629✔ Licensed in MA · RN10024461

175 BROAD ST, Providence, RI 02903

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Secondary Practice Locations 2

Location 1725 Albany St Fl 5Boston, MA 02118-3549 · Phone (617) 414-2000

Location 2840 Harrison Ave Fl 2Boston, MA 02118-2905 · Phone (617) 414-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Jelissa Neal Whnp-bc 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 ID6406392315

PECOS Enrollment IDI20250623003585

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.

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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 5

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

KRISTINA LYNN LAMBERT NP

Nurse Practitioner (Family)