KATHRYN PACK A.R.N.P.
NPI 1477540250
Nurse Practitioner - Adult Health in Providence, RI

Q: What is Kathryn Pack's NPI number?

The NPI number for Kathryn Pack is 1477540250. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Q: What is Kathryn Pack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Pack was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 05, 2005PECOS Enrolled

164 SUMMIT AVE, CARDIOLOGY NP OFFICE 4TH FLOOR, PROVIDENCE, RI 02906(401) 793-2500(401) 793-3141 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Nov 23, 2019 (2 updates tracked since 2019).

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About Kathryn Pack A.r.n.p. NPPES

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

KATHRYN PACK A.R.N.P. (NPI 1477540250) is an individual adult health provider in Providence, Rhode Island, licensed in Rhode Island (NPP37363) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477540250

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHRYN PACKCredential: A.R.N.P.

Location Address164 SUMMIT AVE, CARDIOLOGY NP OFFICE 4TH FLOORProvidence, RI 02906-2853

Mailing Address164 Summit Ave, Cardiology Np Office 4th FloorProvidence, RI 02906-2853 · (401) 793-2500 · Fax (401) 793-3141

Phone(401) 793-2500

Fax(401) 793-3141

Sole ProprietorNo

Enumeration DateOctober 5, 2005

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1477540250 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 · NPP37363

164 SUMMIT AVE, Providence, RI 02906

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Other Identifiers 1

Medicaid200001260AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Pack A.r.n.p. 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 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.

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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)