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THERESA BAINBRIDGE CNM
NPI 1639797624
Advanced Practice Midwife in Providence, RI

Active since July 07, 2020PECOS Enrolled
148 W RIVER ST STE G, PROVIDENCE, RI 02904(401) 606-3000 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2023, Dec 11, 2020, Jul 7, 2020 (3 updates tracked since 2020).

About Theresa Bainbridge Cnm NPPES

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

THERESA BAINBRIDGE CNM (NPI 1639797624) is an individual advanced practice midwife in Providence, Rhode Island, licensed in Rhode Island (CNM00207) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1639797624
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTHERESA BAINBRIDGECredential: CNM
Location Address148 W RIVER ST STE GProvidence, RI 02904-2615
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 606-3000
Sole ProprietorNo
Enumeration DateJuly 7, 2020
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1639797624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in RI · CNM00207
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
148 W RIVER ST STE G, Providence, RI 02904
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Secondary Practice Location 1

Location 1101 S Wall StCarbondale, IL 62901-3021 · Phone (618) 519-9200 · Fax (618) 519-9961

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Bainbridge Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Theresa Bainbridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group Inc
0.9 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799

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 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
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Theresa Bainbridge's NPI number?

The NPI number for Theresa Bainbridge is 1639797624. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Theresa Bainbridge located?

Theresa Bainbridge practices at 148 W River St Ste G, Providence, RI 02904. The listed phone number is (401) 606-3000.

What is Theresa Bainbridge's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Theresa Bainbridge enrolled in Medicare?

Yes. Theresa Bainbridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Bainbridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Bainbridge reassigns Medicare benefits to Lifespan Physician Group 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 Theresa Bainbridge'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 Theresa Bainbridge was last updated on March 30, 2023. 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.