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MR. TIMOTHY J. PEPIN MSN, RN, PMHNP-BC
NPI 1619606662
Nurse Practitioner - Psychiatric/Mental Health in North Smithfield, RI

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment
63 EDDIE DOWLING HWY STE 8, NORTH SMITHFIELD, RI 02896(401) 414-3485(401) 414-3486 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 14, 2022, Aug 22, 2022, Jun 6, 2022 (3 updates tracked since 2022).

About Mr. Timothy J. Pepin Msn, Rn, Pmhnp-bc NPPES

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

MR. TIMOTHY J. PEPIN MSN, RN, PMHNP-BC (NPI 1619606662) is an individual psychiatric/mental health provider in North Smithfield, Rhode Island, licensed in Massachusetts (RN2330396) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Framingham, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619606662
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TIMOTHY J. PEPINCredential: MSN, RN, PMHNP-BC
Location Address63 EDDIE DOWLING HWY STE 8North Smithfield, RI 02896-7322
Mailing Address61 Lincoln St Ste 203Framingham, MA 01702-8264 · (781) 666-2711
Phone(401) 414-3485
Fax(401) 414-3486
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 6, 2022
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1619606662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2330396
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2330396 (MA)
63 EDDIE DOWLING HWY STE 8, North Smithfield, RI 02896
Open in Google Maps ↗

Secondary Practice Location 1

Location 161 Lincoln St Ste 203Framingham, MA 01702-8264 · Phone (781) 666-2711 · Fax (781) 666-2712

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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. Timothy J. Pepin Msn, Rn, Pmhnp-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 ID3375927585
PECOS Enrollment IDI20220907000391, I20220923001318
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 Timothy Pepin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Neuro Behavioral Care LLC
Same address
Community/Behavioral Health
63 EDDIE DOWLING HWY STE 8
North Smithfield, RI 02896
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 54 clinicians in this Medicare group
NPI 1356906572 (508) 816-7276

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 3

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 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.
252 services40 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
16 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02896 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.

Other Providers at the Same Location NPPES 16

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

GERRY HEARN
Social Worker (Clinical)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
MELISSA BURL LCSW
Social Worker (Clinical)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
KARA MARIE KARP LMHC
Counselor (Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
WHITNEY OGBO
Nurse Practitioner (Psychiatric/Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
OLGA B ZAFFINO
Nurse Practitioner (Psychiatric/Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
MR. JOHN DOUGLAS MCDONALD JR. M.A., LPC
Counselor (Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
LEAP SOK
Social Worker (Clinical)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
SPECTRUM NEURO BEHAVIORAL CARE LLC
Community/Behavioral Health
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (508) 816-7276

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 Timothy Pepin's NPI number?

The NPI number for Timothy Pepin is 1619606662. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Timothy Pepin located?

Timothy Pepin practices at 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896. The listed phone number is (401) 414-3485.

What is Timothy Pepin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Timothy Pepin enrolled in Medicare?

Yes. Timothy Pepin 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 organization bills Medicare for Timothy Pepin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Pepin reassigns Medicare benefits to Spectrum Neuro Behavioral Care LLC (North Smithfield, 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 Timothy Pepin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Pepin accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Timothy Pepin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Pepin was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.