JELENA KUPCEVIC FNP-BC
NPI 1619731585
Nurse Practitioner in Providence, RI

Q: What is Jelena Kupcevic's NPI number?

The NPI number for Jelena Kupcevic is 1619731585. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Jelena Kupcevic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jelena Kupcevic was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment

66 BRANCH AVE STE 150, PROVIDENCE, RI 02904(401) 606-2590(401) 606-2591 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jelena Kupcevic Fnp-bc NPPES

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

JELENA KUPCEVIC FNP-BC (NPI 1619731585) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN04758) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1619731585

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJELENA KUPCEVICCredential: FNP-BC

Location Address66 BRANCH AVE STE 150Providence, RI 02904-2756

Mailing Address66 Branch Ave Ste 150Providence, RI 02904-2756 · (401) 606-2590 · Fax (401) 606-2591

Phone(401) 606-2590

Fax(401) 606-2591

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 12, 2024

Last NPPES UpdateAugust 12, 2025

NPPES CertifiedAugust 12, 2025

✔ NPI 1619731585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in RI · APRN04758

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2338113 (MA)

66 BRANCH AVE STE 150, Providence, RI 02904

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Secondary Practice Locations 4

Location 111 Commerce Way Ste 5Johnston, RI 02919-4613 · Phone (401) 606-2610 · Fax (401) 606-2619

Location 217 Airport RdWarwick, RI 02889-1001 · Phone (401) 606-2520 · Fax (401) 384-7190

Location 3236 County RdBarrington, RI 02806-4545 · Phone (401) 606-3550 · Fax (401) 606-3551

Location 41360 W Main RdMiddletown, RI 02842-6301 · Phone (401) 606-3110 · Fax (401) 619-8969

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jelena Kupcevic 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 ID2860830791

PECOS Enrollment IDI20250915001421

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.

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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 10

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

ELIZABETH Z SMITH FNP

Nurse Practitioner