ANDREA DOLAHER NP
NPI 1386122315
Nurse Practitioner - Gerontology in Providence, RI

Active since August 01, 2018PECOS EnrolledAccepts Medicare Assignment
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6402(401) 455-6405 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 17, 2023, Jan 10, 2023, Dec 29, 2022 and 3 more (6 updates tracked since 2018).

About Andrea Dolaher Np NPPES

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

ANDREA DOLAHER NP (NPI 1386122315) is an individual gerontology provider in Providence, Rhode Island, licensed in Rhode Island (APRN03035) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and maintains a secondary practice location in Uxbridge.

NPPES Registry Identity

NPI1386122315
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANDREA DOLAHERCredential: NP
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (508) 334-1977
Fax(401) 455-6405
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2018
Last NPPES UpdateFebruary 17, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
NPI 1386122315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in RI · APRN03035
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2309338 (MA), APRN03035 (RI)
345 BLACKSTONE BLVD, Providence, RI 02906

Secondary Practice Location 1

Location 1281 E Hartford AveUxbridge, MA 01569-1278 · Phone (082) 785-5735 · Fax (508) 378-8477

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

Andrea Dolaher 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 ID1153673108
PECOS Enrollment IDI20220413001077
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 2

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 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.
38 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

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 02906 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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.32 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims3,150 services$0.03 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.

Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

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 Andrea Dolaher's NPI number?

The NPI number for Andrea Dolaher is 1386122315. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Andrea Dolaher located?

Andrea Dolaher practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6402.

What is Andrea Dolaher's specialty?

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

Is Andrea Dolaher enrolled in Medicare?

Yes. Andrea Dolaher 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 Andrea Dolaher affiliated with any hospitals?

According to CMS data, Andrea Dolaher is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Andrea Dolaher was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.