Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONSTANCE T. CHANG NP.
NPI 1538460159
Nurse Practitioner - Family in Providence, RI

Q: What is Constance Chang's NPI number?

The NPI number for Constance Chang is 1538460159. It was assigned to this individual provider in the NPPES registry on November 12, 2010.

Q: What is Constance Chang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Constance Chang was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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 November 12, 2010PECOS Enrolled

175 BROAD ST, PROVIDENCE, RI 02903(401) 421-9620(203) 907-2003 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2026, May 8, 2026, Aug 4, 2021 and 1 more (4 updates tracked since 2021).

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About Constance T. Chang Np. NPPES

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

CONSTANCE T. CHANG NP. (NPI 1538460159) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN00588) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538460159

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCONSTANCE T. CHANGCredential: NP.

Location Address175 BROAD STProvidence, RI 02903-4026

Mailing AddressPo Box 1068Bensalem, PA 19020-5068 · (610) 871-7200 · Fax (610) 871-6210

Phone(401) 421-9620

Fax(203) 907-2003

Sole ProprietorNo

Enumeration DateNovember 12, 2010

Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1538460159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in RI · APRN00588✔ Licensed in NY · 336554✔ Licensed in PA · SP024146✔ Licensed in MA · RN2292523✔ Licensed in CT · 6825

175 BROAD ST, Providence, RI 02903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Constance T. Chang 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 02903 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

27%22 patients2/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

45%1,173 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

44%2,146 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 97% · 551 patients

Patients tobacco: 6% · 66 patients

81%551 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA LYNN LAMBERT NP

Nurse Practitioner (Family)