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MAKAYLA LOURENCO NP
NPI 1639848591
Nurse Practitioner - Pediatrics in Providence, RI

Active since September 13, 2021PECOS Enrolled
2 DUDLEY ST STE 190, PROVIDENCE, RI 02905(401) 421-1939(401) 868-2319 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Oct 7, 2021, Sep 13, 2021 (3 updates tracked since 2021).

About Makayla Lourenco Np NPPES

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

MAKAYLA LOURENCO NP (NPI 1639848591) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN02885) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1639848591
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMAKAYLA LOURENCOCredential: NP
Location Address2 DUDLEY ST STE 190Providence, RI 02905-3248
Mailing Address15 Lasalle SquareProvidence, RI 02903 · (401) 444-3239
Phone(401) 421-1939
Fax(401) 868-2319
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1639848591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in RI · APRN02885✔ Licensed in MA · RN2345178
Also ListedRegistered NurseTaxonomy 163W00000X · License RN67134 (RI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN02885 (RI)
2 DUDLEY ST STE 190, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makayla Lourenco Np 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 Reassignments

2

Medicare enrollment records show Makayla Lourenco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
0.5 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779
University Surgical Associates, Inc.
14 mi
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 99 clinicians in this Medicare group
NPI 1376589895 (401) 272-1800

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 02905 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 9

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

KRISTEN LEIGH KLIMM PA-C
Physician Assistant (Surgical)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
KELSEY VAN HOUSEN PA-C
Physician Assistant
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
CARL-CHRISTIAN ANDREW JACKSON MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0623
ARTUR CHERNOGUZ MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0576
JOSHUA NATHANAEL HONEYMAN M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0576
DR. JULIE MONTEAGUDO M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0580
DR. SAMANTHA LYNN AHLE M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
DR. PETER KIM MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 553-8341

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 Makayla Lourenco's NPI number?

The NPI number for Makayla Lourenco is 1639848591. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Makayla Lourenco located?

Makayla Lourenco practices at 2 Dudley St Ste 190, Providence, RI 02905. The listed phone number is (401) 421-1939.

What is Makayla Lourenco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Makayla Lourenco enrolled in Medicare?

Yes. Makayla Lourenco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Makayla Lourenco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makayla Lourenco reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and University Surgical Associates, Inc. (Providence, RI). Each 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 Makayla Lourenco'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 Makayla Lourenco was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.