TERENCE MICHAEL PINKSTON
NPI 1497618367
Nurse Practitioner - Adult Health in Hope Valley, RI

Active since December 08, 2025PECOS Enrolled
823 MAIN ST, HOPE VALLEY, RI 02832(401) 387-4587 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About Terence Michael Pinkston NPPES

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

TERENCE MICHAEL PINKSTON (NPI 1497618367) is an individual adult health provider in Hope Valley, Rhode Island, licensed in Rhode Island (APRN04601) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497618367
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTERENCE MICHAEL PINKSTON
Location Address823 MAIN STHope Valley, RI 02832-1920
Mailing Address823 Main StHope Valley, RI 02832-1920 · (401) 387-4587
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 8, 2025
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1497618367 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
Licenses✔ Licensed in RI · APRN04601✔ Licensed in MO · 2025009194
823 MAIN ST, Hope Valley, RI 02832

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terence Michael Pinkston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608348446
PECOS Enrollment IDI20260612002245
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 Reassignment

Medicare enrollment records show Terence Pinkston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
823 MAIN STREET
Hope Valley, RI 02832
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02832 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.

Social Worker (Clinical)
823 MAIN ST
HOPE VALLEY, RI 02832
Nurse Practitioner (Family)
823 MAIN ST
HOPE VALLEY, RI 02832
Dietitian, Registered
823 MAIN ST
HOPE VALLEY, RI 02832
Community Health Worker
823 MAIN ST
HOPE VALLEY, RI 02832
Family Medicine
823 MAIN ST
HOPE VALLEY, RI 02832
Registered Nurse
823 MAIN ST
HOPE VALLEY, RI 02832
Registered Nurse (General Practice)
823 MAIN ST
HOPE VALLEY, RI 02832
Dentist
823 MAIN ST
HOPE VALLEY, RI 02832

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 Terence Pinkston's NPI number?

The NPI number for Terence Pinkston is 1497618367. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Terence Pinkston located?

Terence Pinkston practices at 823 Main St, Hope Valley, RI 02832. The listed phone number is (401) 387-4587.

What is Terence Pinkston's specialty?

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

Is Terence Pinkston enrolled in Medicare?

Yes. Terence Pinkston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terence Pinkston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terence Pinkston reassigns Medicare benefits to Wood River Health Services, Inc. (Hope Valley, RI). The 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 Terence Pinkston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terence Pinkston accept?

Health plans from Anthem Blue Cross and Blue Shield list Terence Pinkston 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 Terence Pinkston was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.