1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Nurse Practitioner
  6. NPI Profile

MRS. MICHELLE LYNN BUFFINGTON NP
NPI 1558640540
Nurse Practitioner - Adult Health in Providence, RI

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
1 BLACKSTONE STREET, 2ND FLOOR, PROVIDENCE, RI 02903(401) 453-7520(401) 453-7529 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Michelle Lynn Buffington Np NPPES

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

MRS. MICHELLE LYNN BUFFINGTON NP (NPI 1558640540) is an individual adult health provider in Providence, Rhode Island, licensed in Rhode Island (APRN01880) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1558640540
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MICHELLE LYNN BUFFINGTONCredential: NP
Location Address1 BLACKSTONE STREET, 2ND FLOORProvidence, RI 02903
Mailing Address455 Toll Gate Road, Prc And CredentiailngWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 453-7520
Fax(401) 453-7529
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 9, 2011
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1558640540 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 · APRN01880
1 BLACKSTONE STREET, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Dudley StreetProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7666

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

Mrs. Michelle Lynn Buffington Np 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 ID1153588546
PECOS Enrollment IDI20190115000774
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 Reassignments

2

Medicare enrollment records show Michelle Buffington reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
0.3 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Prima Care, PC
16 mi
Clinic/Center
277 PLEASANT ST, 4TH FLOOR
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 317 clinicians in this Medicare group
NPI 1265422596 (508) 676-3292

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 2

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.
32 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier24 claims1,442 services$0.68 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$18.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

DR. MOHAMMED ALI JALOUDI MD
Internal Medicine (Medical Oncology)
1 BLACKSTONE STREET, 2ND FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
ELIZABETH RICCI NP
Nurse Practitioner (Women's Health)
1 BLACKSTONE STREET, WIH PROGRAM IN WOMEN'S ONCOLOGY
PROVIDENCE, RI 02903
Providence County (401) 453-7520
DR. LUCY ZHANG MD
Surgery (Surgical Oncology)
1 BLACKSTONE STREET, 2ND FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
DR. LORRAINE TAFRA MD
Surgery
1 BLACKSTONE STREET, 2ND FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
JULIA ROSE SALINARO MD
Obstetrics & Gynecology (Gynecologic Oncology)
1 BLACKSTONE STREET, 3RD FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7052
DR. AMY HUI MD
Surgery (Surgical Oncology)
1 BLACKSTONE STREET, 2ND FL
PROVIDENCE, RI 02903
Providence County (401) 453-7520
STEPHANIE LYNN CHEVES NP
Nurse Practitioner (Gerontology)
1 BLACKSTONE STREET, 3 RD FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
MS. MARCINA LYNN BEASTON-CASEY MS, CGC
Genetic Counselor, MS
1 BLACKSTONE STREET, FLOOR 2
PROVIDENCE, RI 02903
Providence County (401) 453-7520

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 Michelle Buffington's NPI number?

The NPI number for Michelle Buffington is 1558640540. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Michelle Buffington located?

Michelle Buffington practices at 1 Blackstone Street 2nd Floor, Providence, RI 02903. The listed phone number is (401) 453-7520.

What is Michelle Buffington's specialty?

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

Is Michelle Buffington enrolled in Medicare?

Yes. Michelle Buffington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Buffington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Buffington reassigns Medicare benefits to 2 organizations: Affinity Physicians LLC (Providence, RI) and Prima Care, PC (Fall River, MA). Each 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 Michelle Buffington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michelle Buffington affiliated with any hospitals?

According to CMS data, Michelle Buffington is affiliated with Rhode Island Hospital and Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Michelle Buffington was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.