MR. MATTHEW RICHARD JAMES FNP-BC
NPI 1538548383
Nurse Practitioner - Family in Providence, RI

Q: What is Matthew James's NPI number?

The NPI number for Matthew James is 1538548383. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Matthew James'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 Matthew James was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment

88.83/100

CMS Quality Rating

799 HOPE ST, PROVIDENCE, RI 02906(401) 331-5240(401) 272-9732 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Dec 20, 2017 (2 updates tracked since 2017).

On this page

About Mr. Matthew Richard James Fnp-bc NPPES

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

MR. MATTHEW RICHARD JAMES FNP-BC (NPI 1538548383) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN00688) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pawtucket, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1538548383

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MATTHEW RICHARD JAMESCredential: FNP-BC

Location Address799 HOPE STProvidence, RI 02906-3635

Mailing Address799 Hope StProvidence, RI 02906-3635 · (800) 389-2727

Phone(401) 331-5240

Fax(401) 272-9732

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 27, 2015

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1538548383 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

License✔ Licensed in RI · APRN00688

799 HOPE ST, Providence, RI 02906

Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Brewster StPawtucket, RI 02860-4474 · Phone (401) 729-6200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew Richard James Fnp-bc 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 ID9436464757

PECOS Enrollment IDI20150817000713

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 Matthew James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minuteclinic Diagnostic Of Rhode Island, LLC

12 mi

Family

1054 CASS AVE
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
41 clinicians in this Medicare group

NPI 1649511841 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

20 services20 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

16 services16 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

15 services14 patients

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.

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.

88.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.69

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 13

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

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