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DAINA M. WORCESTER NP
NPI 1275099152
Nurse Practitioner - Adult Health in Providence, RI

Active since February 15, 2019PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2021, Jan 6, 2021, Dec 29, 2020 and 31 more (34 updates tracked since 2019).

About Daina M. Worcester Np NPPES

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

DAINA M. WORCESTER NP (NPI 1275099152) is an individual adult health provider in Providence, Rhode Island, licensed in Rhode Island (APRN04878) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275099152
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDAINA M. WORCESTERCredential: NP
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 780-2565
Phone(401) 444-0570
Fax(401) 444-0427
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 15, 2019
Last NPPES UpdateFebruary 21, 202634 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2026
✔ NPI 1275099152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in RI · APRN04878
355 PRAIRIE AVE, Providence, RI 02905
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daina M. Worcester Np 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 ID5597006957
PECOS Enrollment IDI20240424000350, I20260612004062
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Daina Worcester reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Providence Community Health Centers, Inc
0.7 mi
Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
NPI 1053313593 (401) 444-0400
Carolinas Physicians Network Inc
639 mi
Family Medicine
835 ALBEMARLE RD
Troy, NC 27371
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1730319682 (North Carolina)
  • 2,057 clinicians in this Medicare group
NPI 1548664303 (910) 572-2309
Signify Health Medical Associates, PLLC
1,520 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado, North Carolina and Oregon enrollments
  • 290 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Areas of Expertise CMS Part B claims

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$12.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SORAYA S. P. DARWOOD MD
Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
PAMELA GONZALEZ MS
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
LUIS DAVID RODRIGUEZ MA, LMHC
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 276-4193
MS. ARLINE A CABRERA MSW
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 921-8662
GABRIELA GARZA M.S.
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 515-8844
ALIIA AGLIULLINA MD
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
SUMI SINGH MD
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
ANDREW W. LEUKHARDT RN, CDOE
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570

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 Daina Worcester's NPI number?

The NPI number for Daina Worcester is 1275099152. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Where is Daina Worcester located?

Daina Worcester practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.

What is Daina Worcester's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Daina Worcester enrolled in Medicare?

Yes. Daina Worcester 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.

Which organizations bill Medicare for Daina Worcester's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daina Worcester reassigns Medicare benefits to 3 organizations: The Providence Community Health Centers, Inc (Providence, RI), Carolinas Physicians Network Inc (Troy, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Daina Worcester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daina Worcester accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Daina Worcester as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daina Worcester was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.