ELLEN FICKS NP
NPI 1316116668
Nurse Practitioner - Family in Providence, RI

Active since February 20, 2008PECOS EnrolledAccepts Medicare Assignment
530 N MAIN ST, PROVIDENCE, RI 02904(401) 415-9500(401) 415-9515 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2025, Sep 28, 2015 (2 updates tracked since 2015).

About Ellen Ficks Np NPPES

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

ELLEN FICKS NP (NPI 1316116668) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN04719) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316116668
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN FICKSCredential: NP
Location Address530 N MAIN STProvidence, RI 02904-5762
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400
Fax(401) 415-9515
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 20, 2008
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1316116668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in RI · APRN04719✔ Licensed in MA · RN2277786
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7702 (MA)
530 N MAIN ST, Providence, RI 02904

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

Ellen Ficks 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 ID3072749175
PECOS Enrollment IDI20131120000446, I20250911000135
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

9

Medicare enrollment records show Ellen Ficks reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 clinicians in this Medicare group
Family
67D MAIN ST
Medway, MA 02053
  • Reassigned Medicare billing, Massachusetts enrollment
  • 186 clinicians in this Medicare group
Urgent Care
286 WASHINGTON ST
Stoughton, MA 02072
  • Reassigned Medicare billing, Massachusetts enrollment
  • 57 clinicians in this Medicare group
Internal Medicine
100 TER HEUN DR
Falmouth, MA 02540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group
Urgent Care
2 JAN SEBASTIAN DR, 100
Sandwich, MA 02563
  • Reassigned Medicare billing, Massachusetts enrollment
  • 129 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
460 W MAIN ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 25 clinicians in this Medicare group
Internal Medicine
27 PARK ST, GLEASON HOUSE
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 423 clinicians in this Medicare group
Neuroradiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 678 clinicians in this Medicare group

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services33 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.
29 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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 20

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

Counselor
530 N MAIN ST
PROVIDENCE, RI 02904
Counselor (Addiction (Substance Use Disorder))
530 N MAIN ST
PROVIDENCE, RI 02904
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Counselor (Mental Health)
530 N MAIN ST
PROVIDENCE, RI 02904
Counselor (Mental Health)
530 N MAIN ST
PROVIDENCE, RI 02904
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Counselor
530 N MAIN ST
PROVIDENCE, RI 02904

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 Ellen Ficks's NPI number?

The NPI number for Ellen Ficks is 1316116668. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Ellen Ficks located?

Ellen Ficks practices at 530 N Main St, Providence, RI 02904. The listed phone number is (401) 415-9500.

What is Ellen Ficks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ellen Ficks enrolled in Medicare?

Yes. Ellen Ficks 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 Ellen Ficks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Ficks reassigns Medicare benefits to 9 organizations: The Providence Community Health Centers, Inc (Providence, RI), Northeast Health Services, LLC (Taunton, MA), Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA), Carecentral Urgent Care Medical Group PC (Stoughton, MA), Physicians Of Falmouth Hospital (Falmouth, MA) and 4 more organizations, listed in the Medicare section above. 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 Ellen Ficks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ellen Ficks affiliated with any hospitals?

According to CMS data, Ellen Ficks is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Ficks was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.