MRS. PHYLLIS D KELLIHER APRN, FNP-BC
NPI 1598101925
Nurse Practitioner - Family in Providence, RI
About Mrs. Phyllis D Kelliher Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PHYLLIS D KELLIHER APRN, FNP-BC (NPI 1598101925) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN00058) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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. Phyllis D Kelliher Aprn, 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.
Medicare Billing Reassignments
3Medicare enrollment records show Phyllis Kelliher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02908
- Reassigned Medicare billing, Rhode Island enrollment
- 96 clinicians in this Medicare group
Providence, RI 02908
- Reassigned Medicare billing, Rhode Island enrollment
- 162 clinicians in this Medicare group
Putnam, CT 06260
- Reassigned Medicare billing, Connecticut enrollment
- 56 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Roger Williams Medical Center
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
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 Phyllis Kelliher's NPI number?
The NPI number for Phyllis Kelliher is 1598101925. It was assigned to this individual provider in the NPPES registry on May 13, 2013.
Where is Phyllis Kelliher located?
Phyllis Kelliher practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 474-4288.
What is Phyllis Kelliher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Phyllis Kelliher enrolled in Medicare?
Yes. Phyllis Kelliher 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 Phyllis Kelliher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Kelliher reassigns Medicare benefits to 3 organizations: Chartercare Roger Williams Medical Center (Providence, RI), Prospect Chartercare Rwmc, LLC (Providence, RI) and Day Kimball Healthcare, Inc. (Putnam, CT). 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 Phyllis Kelliher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phyllis Kelliher affiliated with any hospitals?
According to CMS data, Phyllis Kelliher is affiliated with Roger Williams Medical Center.
When was this NPI record last updated?
The NPPES record for Phyllis Kelliher was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Phyllis D Kelliher, APRN, FNP-BC · NPI 1598101925
Family physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since May 13, 2013.
## Identity
- **NPI:** 1598101925 (Entity type: Individual)
- **Enumerated:** May 13, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN00058 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 CHALKSTONE AVE, Providence, RI 02908-4735
- **Phone:** (401) 474-4288 · **Fax:** (401) 434-5230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Chartercare Roger Williams Medical Center (NPI 1649009507, Providence, RI); Prospect Chartercare Rwmc, LLC (NPI 1285059287, Providence, RI); Day Kimball Healthcare, Inc. (NPI 1265540967, Putnam, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1598101925) · Data from the CMS NPPES public registry.