ANNETTE L KELLEHER NP
NPI 1316178676
Nurse Practitioner - Gerontology in Providence, RI

Q: What is Annette Kelleher's NPI number?

The NPI number for Annette Kelleher is 1316178676. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Q: What is Annette Kelleher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Annette Kelleher was last updated on July 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2009PECOS Enrolled

50 MAUDE ST, PROVIDENCE, RI 02908(401) 456-6616(401) 456-6780 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Annette L Kelleher Np NPPES

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

ANNETTE L KELLEHER NP (NPI 1316178676) is an individual gerontology provider in Providence, Rhode Island, licensed in Rhode Island (NPP37519) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316178676

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameANNETTE L KELLEHERCredential: NP

Location Address50 MAUDE STProvidence, RI 02908-4325

Mailing Address9201 E Mountain View Rd Ste 220Scottsdale, AZ 85258-5172 · (855) 246-6287

Phone(401) 456-6616

Fax(401) 456-6780

Sole ProprietorYes

Enumeration DateAugust 5, 2009

Last NPPES UpdateJuly 17, 2019

✔ NPI 1316178676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in RI · NPP37519

50 MAUDE ST, Providence, RI 02908

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette L Kelleher Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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.

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