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MARK JAMES GAUTHIER APRRN
NPI 1629593355
Nurse Practitioner - Psychiatric/Mental Health in Warwick, RI

Active since August 03, 2017PECOS EnrolledAccepts Medicare Assignment
75 LAMBERT LIND HWY, WARWICK, RI 02886(401) 681-4274(401) 681-4285 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark James Gauthier Aprrn NPPES

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

MARK JAMES GAUTHIER APRRN (NPI 1629593355) is an individual psychiatric/mental health provider in Warwick, Rhode Island, licensed in Rhode Island (APRN01648) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629593355
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARK JAMES GAUTHIERCredential: APRRN
Location Address75 LAMBERT LIND HWYWarwick, RI 02886-1131
Mailing Address75 Lambert Lind HwyWarwick, RI 02886-1131 · (401) 681-4264 · Fax (401) 681-4285
Phone(401) 681-4274
Fax(401) 681-4285
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 3, 2017
✔ NPI 1629593355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in RI · APRN01648
75 LAMBERT LIND HWY, Warwick, RI 02886
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

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

Mark James Gauthier Aprrn 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 ID5496021529
PECOS Enrollment IDI20171017003675
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.

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.

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.
77 services17 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
54 services14 patients
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012
A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.
42 services13 patients

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 02886 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 20

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

DR. ETHAN H KISCH M.D.
Psychiatry & Neurology (Psychiatry)
75 LAMBERT LIND HWY, 120-100
WARWICK, RI 02886
Kent County (401) 681-4274
GREGORY CHARPENTIER
Counselor (Mental Health)
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 681-4274
ATTUNED & INCLINED, LLC
Psychologist (Clinical)
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 499-2745
JENNA CAMPBELL
Nurse Practitioner (Psychiatric/Mental Health)
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 681-4274
PAULINE KING LMHC
Counselor (Mental Health)
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 681-4274
QUALITY BEHAVIORAL HEALTH
Counselor
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 681-4274
DARRYLE STEINBERG
Registered Nurse (Psychiatric/Mental Health)
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 681-4274
JENNIFER MARCHAND RD LDN
Nutritionist
75 LAMBERT LIND HWY
WARWICK, RI 02886
Kent County (401) 681-4274

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 Mark Gauthier's NPI number?

The NPI number for Mark Gauthier is 1629593355. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Mark Gauthier located?

Mark Gauthier practices at 75 Lambert Lind Hwy, Warwick, RI 02886. The listed phone number is (401) 681-4274.

What is Mark Gauthier's specialty?

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

Is Mark Gauthier enrolled in Medicare?

Yes. Mark Gauthier 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.

What insurance does Mark Gauthier accept?

Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Mark Gauthier 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.

Is Mark Gauthier affiliated with any hospitals?

According to CMS data, Mark Gauthier is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Mark Gauthier was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.