NULLY MEDICAL LLC
NPI 1639828569
Nurse Practitioner - Family in Providence, RI
About Nully Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NULLY MEDICAL LLC (NPI 1639828569) is a healthcare organization registered as a family in Providence, Rhode Island and active in the NPI registry since March 2022. The organization maintains a secondary practice location in North Attleboro and lists Abiola Akinboboye, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nully Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nully Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nully Medical LLC's NPI number?
The NPI number for Nully Medical LLC is 1639828569. It was assigned to this organization in the NPPES registry on March 18, 2022.
Where is Nully Medical LLC located?
Nully Medical LLC is located at 156 Greeley St, Providence, RI 02904. The listed phone number is (401) 219-9525.
What is Nully Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nully Medical LLC enrolled in Medicare?
Yes. Nully Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nully Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nully Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nully Medical LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Nully Medical LLC 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 Nully Medical LLC was last updated on December 16, 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.
# Nully Medical Llc · NPI 1639828569
Family organization in Providence, Rhode Island. Organization record, active in the CMS NPPES registry since March 18, 2022.
## Identity
- **NPI:** 1639828569 (Entity type: Organization)
- **Enumerated:** March 18, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Abiola Akinboboye, MANAGER
## Practice location
- **Address:** 156 GREELEY ST, Providence, RI 02904-1265
- **Phone:** (401) 219-9525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1639828569) · Data from the CMS NPPES public registry.