MRS. MICHAELA PROCACCINI
NPI 1619350030
Nurse Practitioner - Pediatrics in Providence, RI
About Mrs. Michaela Procaccini NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHAELA PROCACCINI (NPI 1619350030) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN00730) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Michaela Procaccini is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michaela Procaccini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 222 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.
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.
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 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Michaela Procaccini's NPI number?
The NPI number for Michaela Procaccini is 1619350030. It was assigned to this individual provider in the NPPES registry on July 2, 2015.
Where is Michaela Procaccini located?
Michaela Procaccini practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Michaela Procaccini's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Michaela Procaccini enrolled in Medicare?
Yes. Michaela Procaccini is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michaela Procaccini's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Procaccini reassigns Medicare benefits to University Orthopedics, Inc. (Providence, RI). The 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 Michaela Procaccini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michaela Procaccini was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Michaela Procaccini · NPI 1619350030
Pediatrics physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since July 2, 2015.
## Identity
- **NPI:** 1619350030 (Entity type: Individual)
- **Enumerated:** July 2, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN00730 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Orthopedics, Inc. (NPI 1235181041, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619350030) · Data from the CMS NPPES public registry.