FAIRLAWN PRIMARY CARE, INC
NPI 1508898909
Nurse Practitioner - Family in Pawtucket, RI
About Fairlawn Primary Care, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRLAWN PRIMARY CARE, INC (NPI 1508898909) is a healthcare organization registered as a family in Pawtucket, Rhode Island and active in the NPI registry since July 2006. The organization lists Holly Fernandes, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairlawn Primary Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fairlawn Primary Care, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fairlawn Primary Care, Inc's NPI number?
The NPI number for Fairlawn Primary Care, Inc is 1508898909. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Fairlawn Primary Care, Inc located?
Fairlawn Primary Care, Inc is located at 886 Mineral Spring Ave, Pawtucket, RI 02860. The listed phone number is (401) 475-3063.
What is Fairlawn Primary Care, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Fairlawn Primary Care, Inc enrolled in Medicare?
Yes. Fairlawn Primary Care, Inc is registered in the Medicare PECOS enrollment system.
When is Fairlawn Primary Care, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fairlawn Primary Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fairlawn Primary Care, Inc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fairlawn Primary Care, Inc 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 13 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.
# Fairlawn Primary Care, Inc · NPI 1508898909
Family organization in Pawtucket, Rhode Island. Organization record, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1508898909 (Entity type: Organization)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Holly Fernandes, PRESIDENT
## Practice location
- **Address:** 886 MINERAL SPRING AVE, Pawtucket, RI 02860-3322
- **Phone:** (401) 475-3063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Rhode Island, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 9003461 (RI); Medicaid 7006714 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1508898909) · Data from the CMS NPPES public registry.